Individual provider · Type 1 NPI

Amanda Jackson

Peer Specialist · Sallisaw, OK

NPI number 1376041202 Active

Practice location

205 S Jt Stites
Sallisaw, OK 74955-9301

Call (918) 775-7787 Map

Fax (918) 775-0328

Mailing address

210 N Jt Stites
Sallisaw, OK 74955-9301

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 1376041202

Amanda Jackson's National Provider Identifier is 1376041202, issued on Jan 25, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Sallisaw, OK. The record was last updated on Jan 25, 2018.