Individual provider · Type 1 NPI

Stanley Large Iii

Peer Specialist · Lawton, OK

NPI number 1205695210 Active

Practice location

1307 SW Washington Ave
Lawton, OK 73501-7231

Call (580) 355-7500 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 1205695210

Stanley Large Iii's National Provider Identifier is 1205695210, issued on Mar 14, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lawton, OK. The record was last updated on Mar 14, 2024.