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Amanda Marie Rodriguez
Peer Specialist in Oklahoma City, Oklahoma
NPI 1912530379

Amanda Marie Rodriguez is a Peer Specialist based in Norman, OK. Amanda Marie Rodriguez practices in Oklahoma City, OK. The NPI Number for Amanda Marie Rodriguez is 1912530379 and holds a License No. (Oklahoma).

The current practice location address for Amanda Marie Rodriguez is 4400 N Lincoln Blvd, Oklahoma City, OK and can be reached out via phone at 405-835-1699.

Location: 4400 N Lincoln Blvd, Oklahoma City, OK, 73069-8918
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Provider Profile Details
NPI Number
1912530379
Provider Name
Amanda Marie Rodriguez
Credential
Provider Entity Type
Individual
Gender
Female
Address
4400 N Lincoln Blvd, Oklahoma City, OK, 73069-8918
Phone Number
405-835-1699
Fax Number
Provider Enumeration Date
02/13/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1245445337 05 OK
institution
Provider Business Practice Location Address Details
Address
4400 N Lincoln Blvd
City
State
Zip
73105-5104
Phone Number
405-835-1699
Fax Number
person
Provider Business Mailing Address Details
Address
4400 N Lincoln Blvd
City
State
Zip
73105-5104
Phone Number
405-835-1699
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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