Individual provider · Type 1 NPI

Kaylen Fonfara

Peer Specialist · Tulsa, OK

NPI number 1003626847 Active

Practice location

1608 S Elwood Ave
Tulsa, OK 74119-4208

Call (918) 587-3888 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone 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.

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About NPI 1003626847

Kaylen Fonfara's National Provider Identifier is 1003626847, issued on Jan 13, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Jan 13, 2025.