Individual provider · Type 1 NPI
Ericka Burleson
Peer Specialist · Fort Supply, OK
NPI number
1396406757
Active
Practice location
193461 E Co Rd 304
Fort Supply, OK 73841
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.
About NPI 1396406757
Ericka Burleson's National Provider Identifier is 1396406757, issued on Jan 6, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fort Supply, OK. The record was last updated on Jan 6, 2022.