Individual provider · Type 1 NPI

Jessica Basham

Peer Specialist · Hobart, OK

NPI number 1386431971 Active

Practice location

216 S Main St
Hobart, OK 73651-3628

Mailing address

602 W Sproat St
Mangum, OK 73554-3827

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 1386431971

Jessica Basham's National Provider Identifier is 1386431971, issued on Apr 24, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Hobart, OK. The record was last updated on Apr 28, 2025.