Individual provider · Type 1 NPI

Alexandria Nina Moore

Peer Specialist · Stilwell, OK

NPI number 1104496280 Active

Practice location

716 S 2nd St Ste 101
Stilwell, OK 74960-4806

Call (918) 696-6212 Map

Mailing address

3845 Southridge Cir Apt 10
Tahlequah, OK 74464-7955

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 1104496280

Alexandria Nina Moore's National Provider Identifier is 1104496280, issued on Jun 30, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Stilwell, OK. The record was last updated on Jun 30, 2021.