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Jennifer Guilliam

Peer Specialist in Muskogee, OK. Individual provider (NPI-1).

NPI number1609796176
StatusActive
Last updated in NPPESJul 16, 2026

Details

NPI
1609796176
Entity type
Individual (NPI-1)
Name
Jennifer Guilliam
Sex
Female
Sole proprietor
No
Enumeration date
Jul 16, 2026
Certification date
Jul 15, 2026
Last updated
Jul 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

1412 W Okmulgee St
Muskogee, OK 74401-6739

Phone 918-869-3224

Mailing address

Po Box 1217
Muskogee, OK 74402-1217

Phone 918-869-3224

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