Individual provider · Type 1 NPI

Ladonna Renee Blackbear

Peer Specialist · Tahlequah, OK

NPI number 1104625201 Active

Practice location

113 W Keetoowah St
Tahlequah, OK 74464-3819

Call (918) 931-3700 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

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About NPI 1104625201

Ladonna Renee Blackbear's National Provider Identifier is 1104625201, issued on Mar 11, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tahlequah, OK. The record was last updated on Mar 11, 2025.