person
Madison Paige Deshazer
Peer Specialist in Stillwater, Oklahoma
NPI 1750164216

Madison Paige Deshazer is a Peer Specialist based in Stillwater, OK. Madison Paige Deshazer practices in Stillwater, OK. The NPI Number for Madison Paige Deshazer is 1750164216 and holds a License No. (Oklahoma).

The current practice location address for Madison Paige Deshazer is 604 S Walnut St, Stillwater, OK and can be reached out via phone at 844-458-2100.

Location: 604 S Walnut St, Stillwater, OK, 74074-4222
person
Provider Profile Details
NPI Number
1750164216
Provider Name
Madison Paige Deshazer
Credential
Provider Entity Type
Individual
Gender
Female
Address
604 S Walnut St, Stillwater, OK, 74074-4222
Phone Number
844-458-2100
Fax Number
Provider Enumeration Date
08/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
604 S Walnut St
City
State
Zip
74074-4222
Phone Number
844-458-2100
Fax Number
person
Provider Business Mailing Address Details
Address
604 S Walnut St
City
State
Zip
74074-4222
Phone Number
844-458-2100
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(Oklahoma)
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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