Individual provider · Type 1 NPI

Matthew Wolfgram

Peer Specialist · Oklahoma City, OK

NPI number 1053158808 Active

Practice location

921 NE 13th St
Oklahoma City, OK 73104-5007

Call (405) 456-3974 Map

Mailing address

1312 County Street 2984
Blanchard, OK 73010-3047

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 1053158808

Matthew Wolfgram's National Provider Identifier is 1053158808, issued on Jul 10, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 10, 2024.