Individual provider · Type 1 NPI

Shane Lietch

Peer Specialist · Edmond, OK

NPI number 1295276731 Active

Practice location

609 Rolling Hills Ter
Edmond, OK 73012-6611

Call (405) 588-2356 Map

Mailing address

11998 E 223rd St S
Porum, OK 74455-4081

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
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.

Other peer specialist providers in Edmond

See all in Edmond →

About NPI 1295276731

Shane Lietch's National Provider Identifier is 1295276731, issued on Mar 16, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Edmond, OK. The record was last updated on Apr 18, 2022.