Individual provider · Type 1 NPI

Justin Lynn Cicotte

Peer Specialist · Vinita, OK

NPI number 1013577139 Active

Practice location

405 E Excelsior Ave
Vinita, OK 74301-4226

Call (918) 256-6476 Map

Fax (918) 256-9890

Mailing address

404 E. Excelsior Ave.
Vinita, OK 74301

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 1013577139

Justin Lynn Cicotte's National Provider Identifier is 1013577139, issued on Jun 20, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Vinita, OK. The record was last updated on Nov 24, 2021.