Individual provider · Type 1 NPI

Shanell Dent

Peer Specialist · Ponca City, OK

NPI number 1205387644 Active

Practice location

620 W Grand Ave
Ponca City, OK 74601-5123

Mailing address

1928 N 6th St
Ponca City, OK 74601-2031

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 1205387644

Shanell Dent's National Provider Identifier is 1205387644, issued on Oct 20, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ponca City, OK. The record was last updated on Oct 20, 2016.