Individual provider · Type 1 NPI
Shenita R. Jefferson
Peer Specialist · Edmond, OK
NPI number
1194221242
Active
Practice location
700 Parkhurst Ter
Edmond, OK 73003-5062
Mailing address
612 Lakeside Cir
Edmond, OK 73012-6600
Other practice locations
- 7405 S Douglas Ave, Oklahoma City, OK 73139-1911 · (405) 601-2691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: 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.
Another provider at this address
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About NPI 1194221242
Shenita R. Jefferson's National Provider Identifier is 1194221242, issued on Apr 5, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Edmond, OK. The record was last updated on Aug 20, 2019.