Individual provider · Type 1 NPI

Jacalyn R. Tidwell

Peer Specialist · Tulsa, OK

NPI number 1093316457 Active

Practice location

5310 E 31st St Ste 600
Tulsa, OK 74135-5018

Call (918) 587-9471 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.

8 other providers at this address

Other peer specialist providers in Tulsa

See all in Tulsa →

About NPI 1093316457

Jacalyn R. Tidwell's National Provider Identifier is 1093316457, issued on Nov 3, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Dec 10, 2021.