Individual provider · Type 1 NPI
John Medwin Terry Jr.
Peer Specialist · Ardmore, OK
NPI number
1235605817
Active
Practice location
2428 Autumn Run Ste B
Ardmore, OK 73401-2222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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 1235605817
John Medwin Terry Jr.'s National Provider Identifier is 1235605817, issued on Oct 22, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ardmore, OK. The record was last updated on Oct 22, 2018.