Individual provider · Type 1 NPI

Jennifer Leeann Richardson

Peer Specialist · Seminole, OK

NPI number 1104396266 Active

Practice location

35859 E.w. 1210
Seminole, OK 74868

Call (405) 220-6207 Map

Mailing address

712 S Wewoka Ave
Wewoka, OK 74884-3243

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 1104396266

Jennifer Leeann Richardson's National Provider Identifier is 1104396266, issued on Dec 3, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Seminole, OK. The record was last updated on Mar 11, 2024.