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Julia Lynn Brockway I
Peer Specialist in Mooreland, Oklahoma
NPI 1912580887

Julia Lynn Brockway I is a Peer Specialist based in Mooreland, OK. Julia Lynn Brockway I practices in Mooreland, OK. The NPI Number for Julia Lynn Brockway I is 1912580887 and holds a License No. (Oklahoma).

The current practice location address for Julia Lynn Brockway I is 40803 S County Road 213, Mooreland, OK and can be reached out via phone at 580-216-7182.

Location: 40803 S County Road 213, Mooreland, OK, 73852-9131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912580887
Provider Name
Julia Lynn Brockway I
Credential
Provider Entity Type
Individual
Gender
Female
Address
40803 S County Road 213, Mooreland, OK, 73852-9131
Phone Number
580-216-7182
Fax Number
Provider Enumeration Date
04/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
40803 S County Road 213
City
Mooreland
State
Oklahoma
Zip
73852-9131
Phone Number
580-216-7182
Fax Number
person
Provider Business Mailing Address Details
Address
40803 S County Road 213
City
Mooreland
State
Oklahoma
Zip
73852-9131
Phone Number
580-216-7182
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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