Samantha Stark - Oklahoma City, OK

Samantha Stark

Peer Specialist in Oklahoma City, Oklahoma

NPI 1790498269

Samantha Stark is a Peer Specialist based in Oklahoma City, OK. Samantha Stark practices in Oklahoma City, OK. The NPI Number for Samantha Stark is 1790498269 and holds a License No. (Oklahoma).

The current practice location address for Samantha Stark is 3308 Se 89Th St Trlr 448, Oklahoma City, OK and can be reached out via phone at 405-861-9982.

Location: 3308 Se 89Th St Trlr 448, Oklahoma City, OK, 73135-6237

NPI Number

1790498269

Provider Name

Samantha Stark

Credential

Provider Entity Type

Individual

Gender

Female

Address

3308 Se 89Th St Trlr 448, Oklahoma City, OK, 73135-6237

Phone Number

405-861-9982

Fax Number

Provider Enumeration Date

12/29/2022

Last Update Date

03/10/2024

Address

3308 Se 89Th St Trlr 448

City

Oklahoma City

State

Oklahoma

Zip

73135-6237

Phone Number

405-861-9982

Fax Number

Address

3308 Se 89Th St Trlr 448

City

Oklahoma City

State

Oklahoma

Zip

73135-6237

Phone Number

405-861-9982

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

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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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