Michael Pellicer is a Peer Specialist based in Altus, OK. Michael Pellicer practices in Altus, OK. The NPI Number for Michael Pellicer is 1942080320 and holds a License No. (Oklahoma).
The current practice location address for Michael Pellicer is 218 W Cypress St, Altus, OK and can be reached out via phone at 580-481-8760.
Location: 218 W Cypress St, Altus, OK, 73521-3704
Provider Profile Details
NPI Number
1942080320
Provider Name
Michael Pellicer
Credential
Provider Entity Type
Individual
Gender
Male
Address
218 W Cypress St, Altus, OK, 73521-3704
Phone Number
580-481-8760
Fax Number
Provider Enumeration Date
10/03/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
218 W Cypress St
City
State
Zip
73521-3704
Phone Number
580-481-8760
Fax Number
Provider Business Mailing Address Details
Address
218 W Cypress St
City
State
Zip
73521-3704
Phone Number
580-481-8760
Fax Number
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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