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Tycen Kian Lane Horton
Peer Specialist in Miami, Oklahoma
NPI 1831866276

Tycen Kian Lane Horton is a Peer Specialist based in Miami, OK. Tycen Kian Lane Horton practices in Miami, OK. The NPI Number for Tycen Kian Lane Horton is 1831866276 and holds a License No. (Oklahoma).

The current practice location address for Tycen Kian Lane Horton is 111 S Treaty Rd, Miami, OK and can be reached out via phone at 918-540-1511.

Location: 111 S Treaty Rd, Miami, OK, 74354-5327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831866276
Provider Name
Tycen Kian Lane Horton
Credential
Provider Entity Type
Individual
Gender
Male
Address
111 S Treaty Rd, Miami, OK, 74354-5327
Phone Number
918-540-1511
Fax Number
Provider Enumeration Date
08/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 S Treaty Rd
City
Miami
State
Oklahoma
Zip
74354-5327
Phone Number
918-540-1511
Fax Number
person
Provider Business Mailing Address Details
Address
111 S Treaty Rd
City
Miami
State
Oklahoma
Zip
74354-5327
Phone Number
918-540-1511
Fax Number
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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