Individual provider · Type 1 NPI

Justin Wallis

Peer Specialist · Oklahoma City, OK

NPI number 1467048405 Active

Practice location

6100 S Walker Ave
Oklahoma City, OK 73139-7026

Call (405) 634-4400 Map

Mailing address

1119 N Ellison Ave
Oklahoma City, OK 73106-4605

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 1467048405

Justin Wallis's National Provider Identifier is 1467048405, issued on Dec 14, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Dec 14, 2020.