Individual provider · Type 1 NPI

James Robert Henson

Peer Specialist · Maud, OK

NPI number 1083391676 Active

Practice location

Clay Crossing Foundation, 32018 Hwy 59
Maud, OK 74854

Mailing address

Clay Crossing Foundation, P.o Box 8, 32018 Hwy 59
Maud, OK 74854

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 1083391676

James Robert Henson's National Provider Identifier is 1083391676, issued on Jul 5, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Maud, OK. The record was last updated on Aug 9, 2023.