Individual provider · Type 1 NPI

Matthew Trent Soldier

Peer Specialist · Wagoner, OK

NPI number 1417560988 Active

Practice location

109 S Harrill Ave
Wagoner, OK 74467-5317

Mailing address

779 E 508
Salina, OK 74365-3068

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 1417560988

Matthew Trent Soldier's National Provider Identifier is 1417560988, issued on Aug 25, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Wagoner, OK. The record was last updated on Jan 4, 2023.