Individual provider · Type 1 NPI

Cory Ray Thackeray

Peer Specialist · Tulsa, OK

NPI number 1013765940 Active

Practice location

1728 S Carson Ave
Tulsa, OK 74119-4610

Call (918) 946-1209 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 1013765940

Cory Ray Thackeray's National Provider Identifier is 1013765940, issued on May 7, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on May 7, 2024.