Individual provider · Type 1 NPI

Jeremy Jon Lacy

Peer Specialist · Oklahoma City, OK

NPI number 1043800428 Active

Practice location

2808 NW 31st St
Oklahoma City, OK 73112-7407

Mailing address

6306 Cox Ave
Oklahoma City, OK 73149-5118

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 1043800428

Jeremy Jon Lacy's National Provider Identifier is 1043800428, issued on Jan 20, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jan 20, 2021.