Individual provider · Type 1 NPI
Tara Lou Gladden
Peer Specialist · Cushing, OK
NPI number
1407491798
Active
Practice location
14221 E 74th St
Cushing, OK 74023-6723
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.
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About NPI 1407491798
Tara Lou Gladden's National Provider Identifier is 1407491798, issued on Nov 11, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cushing, OK. The record was last updated on Nov 11, 2019.