Individual provider · Type 1 NPI

Allegra Riley Desiree Birdwell

Peer Specialist · Vinita, OK

NPI number 1104523844 Active

Practice location

405 E Excelsior Ave
Vinita, OK 74301-4226

Call (918) 256-6476 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.

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About NPI 1104523844

Allegra Riley Desiree Birdwell's National Provider Identifier is 1104523844, issued on Feb 13, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Vinita, OK. The record was last updated on Feb 13, 2023.