Individual provider · Type 1 NPI

Leslie Dawn Goodman

Peer Specialist · Konawa, OK

NPI number 1619565017 Active

Practice location

14430 Ns 3500
Konawa, OK 74849-4901

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 1619565017

Leslie Dawn Goodman's National Provider Identifier is 1619565017, issued on Jan 2, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Konawa, OK. The record was last updated on Jan 2, 2021.