Individual provider · Type 1 NPI

Sammy Stach

Peer Specialist · Wagoner, OK

NPI number 1689301772 Active

Practice location

1101 SW 24th St
Wagoner, OK 74467-8691

Call (918) 680-2902 Map

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 1689301772

Sammy Stach's National Provider Identifier is 1689301772, issued on Aug 8, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Wagoner, OK. The record was last updated on Aug 8, 2022.