Individual provider · Type 1 NPI
Harold Ray Jenkins
Peer Specialist · Braggs, OK
NPI number
1710475645
Active
Practice location
400 Madison St.
Braggs, OK 74423
Mailing address
PO Box 335
Braggs, OK 74423-0335
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.
About NPI 1710475645
Harold Ray Jenkins's National Provider Identifier is 1710475645, issued on Apr 26, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Braggs, OK. The record was last updated on Apr 26, 2018.