Individual provider · Type 1 NPI

Brett James Gillum

Peer Specialist · Tahlequah, OK

NPI number 1124806203 Active

Practice location

118 W Keetoowah St
Tahlequah, OK 74464-3820

Call (918) 708-9474 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 1124806203

Brett James Gillum's National Provider Identifier is 1124806203, issued on Sep 19, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tahlequah, OK. The record was last updated on Sep 19, 2023.