Individual provider · Type 1 NPI
Jacob Logan Reid
Peer Specialist · Pocasset, OK
NPI number
1194657254
Active
Practice location
1077 County Street 2790
Pocasset, OK 73079-8020
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 1194657254
Jacob Logan Reid's National Provider Identifier is 1194657254, issued on Jun 2, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pocasset, OK. The record was last updated on Jun 2, 2026.