Individual provider · Type 1 NPI

Dillon Whitaker

Peer Specialist · Catoosa, OK

NPI number 1386498731 Active

Practice location

19320 E Admiral Pl Ste B
Catoosa, OK 74015-3240

Mailing address

33354 E 21st St S
Broken Arrow, OK 74014-4919

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 1386498731

Dillon Whitaker's National Provider Identifier is 1386498731, issued on Apr 12, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Catoosa, OK. The record was last updated on Apr 12, 2024.