Individual provider · Type 1 NPI

Mackenzie Brogdon

Peer Specialist · Konawa, OK

NPI number 1124975461 Active

Practice location

48657 Propane Rd
Konawa, OK 74849-6506

Call (580) 559-9283 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 1124975461

Mackenzie Brogdon's National Provider Identifier is 1124975461, issued on Mar 16, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Konawa, OK. The record was last updated on Mar 16, 2026.