Individual provider · Type 1 NPI

Philander Wade Ii

Peer Specialist · Tulsa, OK

NPI number 1225894330 Active

Practice location

1728 S Carson Ave
Tulsa, OK 74119-4610

Call (918) 851-3276 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 1225894330

Philander Wade Ii's National Provider Identifier is 1225894330, issued on Feb 26, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Feb 26, 2024.