Individual provider · Type 1 NPI

Clarence Russell Smith, MSW

Peer Specialist · Oklahoma City, OK

NPI number 1104434638 Active

Practice location

1311 N Lottie Ave
Oklahoma City, OK 73117-2051

Call (405) 600-3074 Map

Fax (405) 605-8120

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 1104434638

Clarence Russell Smith, MSW's National Provider Identifier is 1104434638, issued on Jul 21, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 21, 2020.