Individual provider · Type 1 NPI

Maddisen Bracken-Cole

Peer Specialist · Wagoner, OK

NPI number 1215664248 Active

Practice location

109 S Harrill Ave
Wagoner, OK 74467-5317

Call (918) 485-0242 Map

Fax (918) 485-0204

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 1215664248

Maddisen Bracken-Cole's National Provider Identifier is 1215664248, issued on Aug 1, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Wagoner, OK. The record was last updated on Aug 1, 2022.