Individual provider · Type 1 NPI

Kelley Maricle

Peer Specialist · Tulsa, OK

NPI number 1629954896 Active

Practice location

1728 S Carson Ave
Tulsa, OK 74119-4610

Mailing address

2104 W H St
Jenks, OK 74037-2355

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 1629954896

Kelley Maricle's National Provider Identifier is 1629954896, issued on Aug 13, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Aug 13, 2025.