Individual provider · Type 1 NPI

Theodis Roosevelt Manning, B.S. ENGINEERING

Peer Specialist · Midwest City, OK

NPI number 1225316706 Active

Practice location

8306 NE 10th St
Midwest City, OK 73110-7155

Call (405) 732-0573 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 1225316706

Theodis Roosevelt Manning, B.S. ENGINEERING's National Provider Identifier is 1225316706, issued on Aug 1, 2011. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Midwest City, OK. The record was last updated on Apr 5, 2024.