Individual provider · Type 1 NPI

Andra Rena' Thomas

Peer Specialist · Wagoner, OK

NPI number 1104691393 Active

Practice location

215 NE 1st St
Wagoner, OK 74467-4439

Call (918) 201-4333 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 1104691393

Andra Rena' Thomas's National Provider Identifier is 1104691393, issued on Nov 17, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Wagoner, OK. The record was last updated on Nov 17, 2023.