Individual provider · Type 1 NPI

Jerry Conley Ii

Peer Specialist · Holdenville, OK

NPI number 1114761780 Active

Practice location

118 E Main St
Holdenville, OK 74848-3208

Call (405) 379-5381 Map

Mailing address

128 Lakeside Dr
Holdenville, OK 74848-9535

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 1114761780

Jerry Conley Ii's National Provider Identifier is 1114761780, issued on Jun 19, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Holdenville, OK. The record was last updated on Jun 19, 2024.