Individual provider · Type 1 NPI

Larry McBride

Peer Specialist · Ardmore, OK

NPI number 1174041297 Active

Practice location

1219 K St NW
Ardmore, OK 73401-1801

Call (580) 798-4523 Map

Fax (580) 319-5349

Mailing address

508 Mayall St
Marietta, OK 73448-4206

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 1174041297

Larry McBride's National Provider Identifier is 1174041297, issued on Sep 8, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ardmore, OK. The record was last updated on Sep 8, 2017.