Individual provider · Type 1 NPI

Dallas Thompson

Peer Specialist · Tahlequah, OK

NPI number 1073486742 Active

Practice location

1007 S. Muskogee St.
Tahlequah, OK 74464

Call (417) 635-4304 Map

Mailing address

710 East Cherrie
Tahlequah, OK 74464

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 1073486742

Dallas Thompson's National Provider Identifier is 1073486742, issued on Sep 27, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tahlequah, OK. The record was last updated on Sep 27, 2025.