Individual provider · Type 1 NPI

Justin Dale Bryant

Peer Specialist · Tahlequah, OK

NPI number 1306695499 Active

Practice location

1011 S Muskogee Ave
Tahlequah, OK 74464-4733

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 1306695499

Justin Dale Bryant's National Provider Identifier is 1306695499, issued on May 13, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tahlequah, OK. The record was last updated on May 13, 2024.