Individual provider · Type 1 NPI

Jorden Lee Tyler

Peer Specialist · Vinita, OK

NPI number 1104687433 Active

Practice location

329 W North Ave
Vinita, OK 74301-2307

Call (918) 915-0390 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 1104687433

Jorden Lee Tyler's National Provider Identifier is 1104687433, issued on Jan 23, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Vinita, OK. The record was last updated on Jan 23, 2024.