Individual provider · Type 1 NPI

Tracy Dougherty

Peer Specialist · Oklahoma City, OK

NPI number 1306677216 Active

Practice location

4130 N Lincoln Blvd
Oklahoma City, OK 73105-5209

Mailing address

1333 Sycamore Cir
Yukon, OK 73099-0455

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 1306677216

Tracy Dougherty's National Provider Identifier is 1306677216, issued on Aug 12, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 12, 2024.