Individual provider · Type 1 NPI

Ricardo Medina Sr.

Peer Specialist · Miami, OK

NPI number 1629526355 Active

Practice location

111 S Treaty Rd
Miami, OK 74354-5327

Call (918) 540-1522 Map

Mailing address

530 N Pearl Ave
Joplin, MO 64801-2465

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 1629526355

Ricardo Medina Sr.'s National Provider Identifier is 1629526355, issued on Sep 11, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Miami, OK. The record was last updated on Sep 14, 2016.