Individual provider · Type 1 NPI
Janessa Baccus
Peer Specialist · Locust Grove, OK
NPI number
1629833280
Active
Practice location
210 Bryan
Locust Grove, OK 74352-5154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.
Other peer specialist providers in Locust Grove
About NPI 1629833280
Janessa Baccus's National Provider Identifier is 1629833280, issued on Feb 13, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Locust Grove, OK. The record was last updated on Aug 4, 2025.