Individual provider · Type 1 NPI

Travis Lee Woolridge

Peer Specialist · Wagoner, OK

NPI number 1407500788 Active

Practice location

109 S Harrill Ave
Wagoner, OK 74467-5317

Call (573) 473-7504 Map

Mailing address

2665 E Albany St Apt G-811
Broken Arrow, OK 74014-4752

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 1407500788

Travis Lee Woolridge's National Provider Identifier is 1407500788, issued on Feb 7, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Wagoner, OK. The record was last updated on Feb 7, 2022.