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Jeff Anthony Reddick
Peer Specialist in Tahlequah, Oklahoma
NPI 1720840614

Jeff Anthony Reddick is a Peer Specialist based in Tahlequah, OK. Jeff Anthony Reddick practices in Tahlequah, OK. The NPI Number for Jeff Anthony Reddick is 1720840614 and holds a License No. (Oklahoma).

The current practice location address for Jeff Anthony Reddick is 1011 S Muskogee Ave, Tahlequah, OK and can be reached out via phone at 918-525-6035.

Location: 1011 S Muskogee Ave, Tahlequah, OK, 74464-4733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720840614
Provider Name
Jeff Anthony Reddick
Credential
Provider Entity Type
Individual
Gender
Male
Address
1011 S Muskogee Ave, Tahlequah, OK, 74464-4733
Phone Number
918-525-6035
Fax Number
Provider Enumeration Date
01/25/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1011 S Muskogee Ave
City
Tahlequah
State
Oklahoma
Zip
74464-4733
Phone Number
918-525-6035
Fax Number
person
Provider Business Mailing Address Details
Address
1011 S Muskogee Ave
City
Tahlequah
State
Oklahoma
Zip
74464-4733
Phone Number
918-525-6035
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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