Individual provider · Type 1 NPI

Jerry Ray Nichols

Peer Specialist · Claremore, OK

NPI number 1669043386 Active

Practice location

1402 N Florence Ave Ste B
Claremore, OK 74017-3159

Call (918) 608-0380 Map

Mailing address

8056 Quail Ridge Rd
Claremore, OK 74019-7504

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 1669043386

Jerry Ray Nichols's National Provider Identifier is 1669043386, issued on Jul 3, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Claremore, OK. The record was last updated on Jul 3, 2021.