Individual provider · Type 1 NPI

James Dale Stafford

Peer Specialist · Grove, OK

NPI number 1285349894 Active

Practice location

1101 S Mill St
Grove, OK 74344-2954

Call (918) 353-3701 Map

Mailing address

902 Martin Luther King Blvd
Wagoner, OK 74467-6928

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 1285349894

James Dale Stafford's National Provider Identifier is 1285349894, issued on Jan 18, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grove, OK. The record was last updated on Jan 18, 2023.