Individual provider · Type 1 NPI
Clinton Albert Primeaux
Peer Specialist · Red Rock, OK
NPI number
1699660134
Active
Practice location
8151 Highway 177
Red Rock, OK 74651-0348
Fax (657) 375-8606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.
4 other providers at this address
About NPI 1699660134
Clinton Albert Primeaux's National Provider Identifier is 1699660134, issued on Jun 12, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Red Rock, OK. The record was last updated on Jun 12, 2025.