Individual provider · Type 1 NPI
David Wayne Easley Ii
Peer Specialist · Tahlequah, OK
NPI number
1326890757
Active · reactivated Apr 17, 2024
Practice location
1300 Nola Ave Apt 12A
Tahlequah, OK 74464-5252
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 1326890757
David Wayne Easley Ii's National Provider Identifier is 1326890757, issued on Apr 1, 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 7, 2024.