Individual provider · Type 1 NPI

Trace Darr

Peer Specialist · Shawnee, OK

NPI number 1649931148 Active

Practice location

1336 N Harrison Ave
Shawnee, OK 74801-5206

Call (405) 424-7711 Map

Mailing address

35977 Highway 9 E
Seminole, OK 74868-6631

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
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 1649931148

Trace Darr's National Provider Identifier is 1649931148, issued on Jan 6, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Shawnee, OK. The record was last updated on Mar 3, 2023.