Jefferson Michael Jefferson - Oklahoma City, OK

Jefferson Michael Jefferson

Peer Specialist in Oklahoma City, Oklahoma

NPI 1770167090

Jefferson Michael Jefferson is a Peer Specialist based in The Village, OK. Jefferson Michael Jefferson practices in Oklahoma City, OK. The NPI Number for Jefferson Michael Jefferson is 1770167090 and holds a License No. (Oklahoma).

The current practice location address for Jefferson Michael Jefferson is 900 N Portland Ave # 7, Oklahoma City, OK and can be reached out via phone at 405-945-6775.

Location: 900 N Portland Ave # 7, Oklahoma City, OK, 73120-1151

NPI Number

1770167090

Provider Name

Jefferson Michael Jefferson

Credential

Provider Entity Type

Individual

Gender

Male

Address

900 N Portland Ave # 7, Oklahoma City, OK, 73120-1151

Phone Number

405-945-6775

Fax Number

Provider Enumeration Date

05/12/2021

Last Update Date

03/10/2024

Address

900 N Portland Ave # 7

City

Oklahoma City

State

Oklahoma

Zip

73107-6120

Phone Number

405-945-6775

Fax Number

Address

900 N Portland Ave # 7

City

Oklahoma City

State

Oklahoma

Zip

73107-6120

Phone Number

405-945-6775

Fax Number

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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