Individual provider · Type 1 NPI

Princess Danielle Kennedy

Peer Specialist · Ponca City, OK

NPI number 1629656202 Active

Practice location

2225 N Union St
Ponca City, OK 74601-1555

Mailing address

600 N Lake St
Ponca City, OK 74601-3941

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 1629656202

Princess Danielle Kennedy's National Provider Identifier is 1629656202, issued on Apr 1, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ponca City, OK. The record was last updated on Apr 1, 2021.