Individual provider · Type 1 NPI

Lacey Potter

Peer Specialist · Ada, OK

NPI number 1114448917 Active

Practice location

15881 County Road 3590
Ada, OK 74820-0483

Call (580) 235-3138 Map

Mailing address

PO Box 715
Ada, OK 74821-0715

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 1114448917

Lacey Potter's National Provider Identifier is 1114448917, issued on Jun 30, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ada, OK. The record was last updated on Jun 30, 2017.