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Mrs. Diana Lynn Fairchild
Peer Specialist in Tahlequah, Oklahoma
NPI 1932967023

Diana Lynn Fairchild is a Peer Specialist based in Tahlequah, OK. Diana Lynn Fairchild practices in Tahlequah, OK. The NPI Number for Diana Lynn Fairchild is 1932967023 and holds a License No. (Oklahoma).

The current practice location address for Diana Lynn Fairchild is 16414 W 760 Rd, Tahlequah, OK and can be reached out via phone at 918-708-9009 and via fax at 918-708-1714.

Location: 16414 W 760 Rd, Tahlequah, OK, 74464-1675
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932967023
Provider Name
Diana Lynn Fairchild
Credential
Provider Entity Type
Individual
Gender
Female
Address
16414 W 760 Rd, Tahlequah, OK, 74464-1675
Phone Number
918-708-9009
Fax Number
918-708-1714
Provider Enumeration Date
03/12/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
16414 W 760 Rd
City
Tahlequah
State
Oklahoma
Zip
74464-1675
Phone Number
918-708-9009
Fax Number
918-708-1714
person
Provider Business Mailing Address Details
Address
16414 W 760 Rd
City
Tahlequah
State
Oklahoma
Zip
74464-1675
Phone Number
918-708-9009
Fax Number
918-708-1714
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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