Individual provider · Type 1 NPI

Jefferies Blake Davis

Peer Specialist · Newalla, OK

NPI number 1003430869 Active

Practice location

10700 S Choctaw Rd
Newalla, OK 74857-7962

Call (405) 742-7713 Map

Mailing address

7701 S Anderson Rd
Oklahoma City, OK 73150-6708

Other practice locations

7701 S Anderson Rd, Oklahoma City, OK 73150-6708 · (405) 742-7713

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.

5 other providers at this address

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About NPI 1003430869

Jefferies Blake Davis's National Provider Identifier is 1003430869, issued on Jun 7, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Newalla, OK. The record was last updated on Jun 8, 2020.