Individual provider · Type 1 NPI

Edgar Ivan Rodiles

Peer Specialist · Tulsa, OK

NPI number 1205696630 Active

Practice location

6128 E 38th St
Tulsa, OK 74135-5832

Call (918) 664-4224 Map

Fax (918) 663-0203

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 1205696630

Edgar Ivan Rodiles's National Provider Identifier is 1205696630, issued on Mar 21, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Mar 21, 2024.