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Bridgette Diana Kay Thibodeau
Peer Specialist in Bartlesville, Oklahoma
NPI 1760084479

Bridgette Diana Kay Thibodeau is a Peer Specialist based in Bartlesville, OK. Bridgette Diana Kay Thibodeau practices in Bartlesville, OK. The NPI Number for Bridgette Diana Kay Thibodeau is 1760084479 and holds a License No. (Oklahoma).

The current practice location address for Bridgette Diana Kay Thibodeau is 700 Sw Penn Ave., Bartlesville, OK and can be reached out via phone at 918-337-8080 and via fax at 918-337-8099.

Location: 700 Sw Penn Ave., Bartlesville, OK, 74003-3847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760084479
Provider Name
Bridgette Diana Kay Thibodeau
Credential
Provider Entity Type
Individual
Gender
Female
Address
700 Sw Penn Ave., Bartlesville, OK, 74003-3847
Phone Number
918-337-8080
Fax Number
918-337-8099
Provider Enumeration Date
11/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
700 Sw Penn Ave.
City
Bartlesville
State
Oklahoma
Zip
74003-3847
Phone Number
918-337-8080
Fax Number
918-337-8099
person
Provider Business Mailing Address Details
Address
700 Sw Penn Ave.
City
Bartlesville
State
Oklahoma
Zip
74003-3847
Phone Number
918-337-8080
Fax Number
918-337-8099
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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