Individual provider · Type 1 NPI

Madison Mae Wiese

Peer Specialist · Jay, OK

NPI number 1457065963 Active

Practice location

1015 W Washbourne St
Jay, OK 74346-4205

Call (844) 458-2100 Map

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 1457065963

Madison Mae Wiese's National Provider Identifier is 1457065963, issued on Jan 9, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Jay, OK. The record was last updated on Jan 9, 2023.