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Ms. Amanda Lyn Locke
Peer Specialist in Shawnee, Oklahoma
NPI 1932702966

Amanda Lyn Locke is a Peer Specialist based in Oklahoma City, OK. Amanda Lyn Locke practices in Shawnee, OK. The NPI Number for Amanda Lyn Locke is 1932702966 and holds a License No. (Oklahoma).

The current practice location address for Amanda Lyn Locke is 101 N Union Ave, Shawnee, OK and can be reached out via phone at 405-214-4700 and via fax at 405-275-7105.

Location: 101 N Union Ave, Shawnee, OK, 73105-5104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932702966
Provider Name
Amanda Lyn Locke
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 N Union Ave, Shawnee, OK, 73105-5104
Phone Number
405-214-4700
Fax Number
405-275-7105
Provider Enumeration Date
11/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 N Union Ave
City
Shawnee
State
Oklahoma
Zip
74801-7067
Phone Number
405-214-4700
Fax Number
405-275-7105
person
Provider Business Mailing Address Details
Address
101 N Union Ave
City
Shawnee
State
Oklahoma
Zip
74801-7067
Phone Number
405-214-4700
Fax Number
405-275-7105
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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