Individual provider · Type 1 NPI

Jena Raylynn-Gwendolyn Lueking

Peer Specialist · Holdenville, OK

NPI number 1174006050 Active

Practice location

117 Rodgers Dr
Holdenville, OK 74848-2877

Call (405) 379-6668 Map

Mailing address

PO Box 590
Holdenville, OK 74848-0590

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 1174006050

Jena Raylynn-Gwendolyn Lueking's National Provider Identifier is 1174006050, issued on Sep 7, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Holdenville, OK. The record was last updated on Sep 7, 2018.