Individual provider · Type 1 NPI

Sara Grace Gibson

Peer Specialist · Catoosa, OK

NPI number 1174120646 Active

Practice location

19320 E Admiral Pl Ste B
Catoosa, OK 74015-3240

Mailing address

4318 S Trenton Ave
Tulsa, OK 74105-4130

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 1174120646

Sara Grace Gibson's National Provider Identifier is 1174120646, issued on Oct 7, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Catoosa, OK. The record was last updated on Oct 7, 2020.