Individual provider · Type 1 NPI

Keith Cockle

Peer Specialist · Grove, OK

NPI number 1376908962 Active

Practice location

1115 Harbor Rd
Grove, OK 74344-3505

Call (918) 786-4434 Map

Fax (918) 786-4435

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X129951 (OK)

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 1376908962

Keith Cockle's National Provider Identifier is 1376908962, issued on Dec 23, 2015. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grove, OK. The record was last updated on Apr 10, 2017.