Individual provider · Type 1 NPI

Sherry Rae Russo

Peer Specialist · Antlers, OK

NPI number 1053056952 Active

Practice location

107 S High St
Antlers, OK 74523-3818

Call (580) 298-2830 Map

Fax (580) 298-6723

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 1053056952

Sherry Rae Russo's National Provider Identifier is 1053056952, issued on May 4, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Antlers, OK. The record was last updated on Apr 15, 2024.