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Katelyn Cheyanne Carpenter
Peer Specialist in Henryetta, Oklahoma
NPI 1871105452

Katelyn Cheyanne Carpenter is a Peer Specialist based in Henryetta, OK. Katelyn Cheyanne Carpenter practices in Henryetta, OK. The NPI Number for Katelyn Cheyanne Carpenter is 1871105452 and holds a License No. (Oklahoma).

The current practice location address for Katelyn Cheyanne Carpenter is 316 W Main St, Henryetta, OK and can be reached out via phone at 918-650-9292.

Location: 316 W Main St, Henryetta, OK, 74437-4240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871105452
Provider Name
Katelyn Cheyanne Carpenter
Credential
Provider Entity Type
Individual
Gender
Female
Address
316 W Main St, Henryetta, OK, 74437-4240
Phone Number
918-650-9292
Fax Number
Provider Enumeration Date
08/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
316 W Main St
City
Henryetta
State
Oklahoma
Zip
74437-4240
Phone Number
918-650-9292
Fax Number
person
Provider Business Mailing Address Details
Address
316 W Main St
City
Henryetta
State
Oklahoma
Zip
74437-4240
Phone Number
918-650-9292
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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