Individual provider · Type 1 NPI

Jeffrey Deatherage

Peer Specialist · Mcalester, OK

NPI number 1174401012 Active

Practice location

1101 E Monroe Ave
Mcalester, OK 74501-4815

Call (918) 429-4192 Map

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 1174401012

Jeffrey Deatherage's National Provider Identifier is 1174401012, issued on Aug 26, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Mcalester, OK. The record was last updated on Aug 26, 2025.