Individual provider · Type 1 NPI

Jake Curtis Bacon Sr.

Peer Specialist · Tulsa, OK

NPI number 1538025259 Active

Practice location

6720 E 69th St
Tulsa, OK 74133-1731

Call (539) 322-8409 Map

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 1538025259

Jake Curtis Bacon Sr.'s National Provider Identifier is 1538025259, issued on Dec 26, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Dec 26, 2025.