Individual provider · Type 1 NPI

Amanda Kay Clark Nieblas

Peer Specialist · Vinita, OK

NPI number 1417670555 Active

Practice location

405 E Excelsior Ave
Vinita, OK 74301-4226

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 1417670555

Amanda Kay Clark Nieblas's National Provider Identifier is 1417670555, issued on Sep 23, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Vinita, OK. The record was last updated on Sep 23, 2022.