Individual provider · Type 1 NPI

Alan Keith Wilcoxson

Peer Specialist · Ponca City, OK

NPI number 1114569738 Active

Practice location

1801 Blackard Ln
Ponca City, OK 74604-3512

Call (405) 714-6010 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 1114569738

Alan Keith Wilcoxson's National Provider Identifier is 1114569738, issued on Oct 15, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ponca City, OK. The record was last updated on Oct 15, 2019.