Individual provider · Type 1 NPI

Irene Kelly-Puccino

Peer Specialist · Lawton, OK

NPI number 1225798564 Active

Practice location

602 SW 38th St
Lawton, OK 73505-6912

Call (580) 248-5780 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 1225798564

Irene Kelly-Puccino's National Provider Identifier is 1225798564, issued on Dec 28, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lawton, OK. The record was last updated on Dec 28, 2021.