Individual provider · Type 1 NPI

Tristan Dirksen

Peer Specialist · Tecumseh, OK

NPI number 1427972249 Active

Practice location

24962 Okay Rd
Tecumseh, OK 74873-6504

Mailing address

8809 NW 120th St
Oklahoma City, OK 73162-1142

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 1427972249

Tristan Dirksen's National Provider Identifier is 1427972249, issued on Aug 5, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tecumseh, OK. The record was last updated on Aug 5, 2026.