Kevonda Fuller is a Peer Specialist based in Edmond, OK. Kevonda Fuller practices in Edmond, OK. The NPI Number for Kevonda Fuller is 1952966699 and holds a License No. (Oklahoma).
The current practice location address for Kevonda Fuller is 13707 Fairhill Ave, Edmond, OK and can be reached out via phone at 405-607-4041.
Location: 13707 Fairhill Ave, Edmond, OK, 73013-1946
Provider Profile Details
NPI Number
1952966699
Provider Name
Kevonda Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
13707 Fairhill Ave, Edmond, OK, 73013-1946
Phone Number
405-607-4041
Fax Number
Provider Enumeration Date
05/08/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
13707 Fairhill Ave
City
State
Zip
73013-1946
Phone Number
405-607-4041
Fax Number
Provider Business Mailing Address Details
Address
13707 Fairhill Ave
City
State
Zip
73013-1946
Phone Number
405-607-4041
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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