Individual provider · Type 1 NPI
Deadra Jane Cassady
Peer Specialist · Ponca City, OK
NPI number
1497437859
Active
Practice location
407 S South Ave
Ponca City, OK 74601
Mailing address
1211 S 10th St
Blackwell, OK 74631-4626
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 1497437859
Deadra Jane Cassady's National Provider Identifier is 1497437859, issued on Aug 4, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ponca City, OK. The record was last updated on Aug 4, 2023.