Individual provider · Type 1 NPI

Amanda Leeann Moore, GED

Peer Specialist · Wagoner, OK

NPI number 1649056136 Active

Practice location

215 NE 1st St
Wagoner, OK 74467-4439

Call (918) 201-4333 Map

Mailing address

605 N Polk Ave
Wagoner, OK 74467-2713

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.

8 other providers at this address

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About NPI 1649056136

Amanda Leeann Moore, GED's National Provider Identifier is 1649056136, issued on Aug 31, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Wagoner, OK. The record was last updated on Aug 31, 2023.