Individual provider · Type 1 NPI
Spencer Cheyenne Bakke
Peer Specialist · Pryor, OK
NPI number
1316775745
Active
Practice location
1622 S 4275
Pryor, OK 74361-7827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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 1316775745
Spencer Cheyenne Bakke's National Provider Identifier is 1316775745, issued on Jul 25, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pryor, OK. The record was last updated on Jul 25, 2024.