Individual provider · Type 1 NPI
Samantha Nissi Cowan
Peer Specialist · Burns Flat, OK
NPI number
1487389433
Active
Practice location
420 Sooner Dr
Burns Flat, OK 73624-0569
Fax (580) 562-4880
Mailing address
PO Box 569
Burns Flat, OK 73624-0569
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.
About NPI 1487389433
Samantha Nissi Cowan's National Provider Identifier is 1487389433, issued on Jul 22, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Burns Flat, OK. The record was last updated on Jul 22, 2022.