Individual provider · Type 1 NPI

Zachary Blackowl

Peer Specialist · El Reno, OK

NPI number 1679386296 Active

Practice location

1950 S Shepard Ave
El Reno, OK 73036-6357

Mailing address

1108 Skyview Dr
El Reno, OK 73036-2026

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 1679386296

Zachary Blackowl's National Provider Identifier is 1679386296, issued on Jan 28, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in El Reno, OK. The record was last updated on Jan 28, 2025.