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
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.