Individual provider · Type 1 NPI

Jeffrey Michael Lake

Peer Specialist · Vinita, OK

NPI number 1316432115 Active

Practice location

405 E Excelsior Ave
Vinita, OK 74301

Call (918) 256-6476 Map

Fax (918) 256-3628

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 1316432115

Jeffrey Michael Lake's National Provider Identifier is 1316432115, issued on Jun 25, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Vinita, OK. The record was last updated on Jul 30, 2018.