Individual provider · Type 1 NPI

Shane Soudek

Peer Specialist · Edmond, OK

NPI number 1063293033 Active

Practice location

1007 Crown Dr
Edmond, OK 73034-5535

Call (405) 368-7229 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 1063293033

Shane Soudek's National Provider Identifier is 1063293033, issued on Oct 6, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Edmond, OK. The record was last updated on Oct 6, 2023.