Individual provider · Type 1 NPI

Jerry Medlock

Peer Specialist · Del City, OK

NPI number 1285164392 Active

Practice location

4312 Vfw Dr. Apt # 7, 4312 Vfw Dr. Apt # 7
Del City, OK 73115

Call (405) 468-0922 Map

Mailing address

4312 Vfw Dr Apt 7
Del City, OK 73115-2139

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 1285164392

Jerry Medlock's National Provider Identifier is 1285164392, issued on Jun 13, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Del City, OK. The record was last updated on Jul 21, 2022.