Individual provider · Type 1 NPI

Jaime Marie Sullivan

Peer Specialist · Sallisaw, OK

NPI number 1144128364 Active

Practice location

1108 N Wheeler Ave
Sallisaw, OK 74955-2227

Fax (918) 775-5526

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 1144128364

Jaime Marie Sullivan's National Provider Identifier is 1144128364, issued on Oct 28, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Sallisaw, OK. The record was last updated on Oct 28, 2026.