Individual provider · Type 1 NPI

Justice Dwayne Wilson

Peer Specialist · Mcalester, OK

NPI number 1225813272 Active

Practice location

70 Duck Rd
Mcalester, OK 74501-5959

Call (918) 421-1755 Map

Mailing address

1101 E Monroe Ave
Mcalester, OK 74501-4815

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 1225813272

Justice Dwayne Wilson's National Provider Identifier is 1225813272, issued on Aug 29, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Mcalester, OK. The record was last updated on Aug 29, 2023.