Individual provider · Type 1 NPI

Andrew Dawson Puckett

Peer Specialist · Tulsa, OK

NPI number 1235624917 Active

Practice location

6333 E Skelly Dr
Tulsa, OK 74135-6106

Mailing address

5217 S Vandalia Ave Apt 1H
Tulsa, OK 74135-4063

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 1235624917

Andrew Dawson Puckett's National Provider Identifier is 1235624917, issued on Jun 26, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Jun 26, 2018.