Individual provider · Type 1 NPI

Desiree Ann Green

Peer Specialist · Pryor, OK

NPI number 1457150906 Active

Practice location

1500 E Graham Ave
Pryor, OK 74361-6793

Mailing address

1219 SE 12th St
Pryor, OK 74361-7228

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 1457150906

Desiree Ann Green's National Provider Identifier is 1457150906, issued on Mar 10, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pryor, OK. The record was last updated on May 13, 2025.