SearchOklahomaPeer Specialist

Jeffrey Lake

NPI 1316432115 · on the registry since 2018

Practice

Address
405 E Excelsior Ave
Vinita, OK 74301
Phone
(918) 256-6476
Fax
(918) 256-3628
Organisation at this address
Odmhsas
Grand Mental Health
Grand Lake Mental Health Center Inc.
Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
250

Registry record

Primary taxonomy
Peer Specialist
175T00000X
Sex
Male
Record last updated
2018-07-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma