person
Wyletta Pettit
Peer Specialist in Wagoner, Oklahoma
NPI 1851867014

Wyletta Pettit is a Peer Specialist based in Wagoner, OK. Wyletta Pettit practices in Wagoner, OK. The NPI Number for Wyletta Pettit is 1851867014 and holds a License No. (Oklahoma).

The current practice location address for Wyletta Pettit is 607 N Polk Ave, Wagoner, OK and can be reached out via phone at 918-304-4371.

Location: 607 N Polk Ave, Wagoner, OK, 74467-2713
person
Provider Profile Details
NPI Number
1851867014
Provider Name
Wyletta Pettit
Credential
Provider Entity Type
Individual
Gender
Female
Address
607 N Polk Ave, Wagoner, OK, 74467-2713
Phone Number
918-304-4371
Fax Number
Provider Enumeration Date
10/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
607 N Polk Ave
City
State
Zip
74467-2713
Phone Number
918-304-4371
Fax Number
person
Provider Business Mailing Address Details
Address
607 N Polk Ave
City
State
Zip
74467-2713
Phone Number
918-304-4371
Fax Number
person
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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