Individual provider · Type 1 NPI

Terry Allen Wilson

Peer Specialist · Wyandotte, OK

NPI number 1306500905 Active

Practice location

10025 S 705 Rd
Wyandotte, OK 74370-9507

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 1306500905

Terry Allen Wilson's National Provider Identifier is 1306500905, issued on Oct 29, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Wyandotte, OK. The record was last updated on Oct 29, 2021.