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Jaci Maddox
Peer Specialist in Bartlesville, Oklahoma
NPI 1821463142

Jaci Maddox is a Peer Specialist based in Bartlesville, OK. Jaci Maddox practices in Bartlesville, OK. The NPI Number for Jaci Maddox is 1821463142 and holds a License No. (Oklahoma).

The current practice location address for Jaci Maddox is 700 S.w. Penn, Bartlesville, OK and can be reached out via phone at 918-337-8080 and via fax at 918-337-8099.

Location: 700 S.w. Penn, Bartlesville, OK, 74003-3847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821463142
Provider Name
Jaci Maddox
Credential
Provider Entity Type
Individual
Gender
Female
Address
700 S.w. Penn, Bartlesville, OK, 74003-3847
Phone Number
918-337-8080
Fax Number
918-337-8099
Provider Enumeration Date
12/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
700 S.w. Penn
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 S.w. Penn
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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