Individual provider · Type 1 NPI

Michael Bennett

Peer Specialist · Newalla, OK

NPI number 1295370336 Active

Practice location

10624 S Choctaw Rd
Newalla, OK 74857-9315

Call (918) 771-1797 Map

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 1295370336

Michael Bennett's National Provider Identifier is 1295370336, issued on Nov 13, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Newalla, OK. The record was last updated on Nov 13, 2019.