Individual provider · Type 1 NPI
Natalie Jeanette Gordon
Peer Specialist · Glencoe, OK
NPI number
1164025037
Active
Practice location
5308 N Fairgrounds Rd
Glencoe, OK 74032-1156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.
About NPI 1164025037
Natalie Jeanette Gordon's National Provider Identifier is 1164025037, issued on Nov 20, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Glencoe, OK. The record was last updated on Nov 20, 2020.