Individual provider · Type 1 NPI

Blayze Ryker Harter

Peer Specialist · Vinita, OK

NPI number 1649934902 Active

Practice location

405 E Excelsior Ave
Vinita, OK 74301-4226

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 1649934902

Blayze Ryker Harter's National Provider Identifier is 1649934902, issued on Oct 23, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Vinita, OK. The record was last updated on Oct 23, 2021.