Jean Ellis is a Peer Specialist based in Oklahoma City, OK. Jean Ellis practices in Oklahoma City, OK. The NPI Number for Jean Ellis is 1770979262 and holds a License No. (Oklahoma).
The current practice location address for Jean Ellis is 3804 N Land Ave, Oklahoma City, OK and can be reached out via phone at 405-820-6156.
Location: 3804 N Land Ave, Oklahoma City, OK, 73112-6515
Provider Profile Details
NPI Number
1770979262
Provider Name
Jean Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
3804 N Land Ave, Oklahoma City, OK, 73112-6515
Phone Number
405-820-6156
Fax Number
Provider Enumeration Date
04/10/2015
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
3804 N Land Ave
City
State
Zip
73112-6515
Phone Number
405-820-6156
Fax Number
Provider Business Mailing Address Details
Address
3804 N Land Ave
City
State
Zip
73112-6515
Phone Number
405-820-6156
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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