Individual provider · Type 1 NPI

Leron Revan

Peer Specialist · Tulsa, OK

NPI number 1619864030 Active

Practice location

8709 E 60th St
Tulsa, OK 74145-8716

Call (918) 710-9757 Map

Fax (918) 710-9757

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 1619864030

Leron Revan's National Provider Identifier is 1619864030, issued on Jun 19, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Jun 19, 2025.