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Michael David Parks
Peer Specialist in Seminole, Oklahoma
NPI 1861171951

Michael David Parks is a Peer Specialist based in Seminole, OK. Michael David Parks practices in Seminole, OK. The NPI Number for Michael David Parks is 1861171951 and holds a License No. (Oklahoma).

The current practice location address for Michael David Parks is 919 Jefferson St, Seminole, OK and can be reached out via phone at 405-395-4357 and via fax at 405-385-6604.

Location: 919 Jefferson St, Seminole, OK, 74868-3861
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861171951
Provider Name
Michael David Parks
Credential
Provider Entity Type
Individual
Gender
Male
Address
919 Jefferson St, Seminole, OK, 74868-3861
Phone Number
405-395-4357
Fax Number
405-385-6604
Provider Enumeration Date
07/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
919 Jefferson St
City
Seminole
State
Oklahoma
Zip
74868-3150
Phone Number
405-395-4357
Fax Number
405-385-6604
person
Provider Business Mailing Address Details
Address
919 Jefferson St
City
Seminole
State
Oklahoma
Zip
74868-3150
Phone Number
405-395-4357
Fax Number
405-385-6604
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oklahoma)
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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