Individual provider · Type 1 NPI

Shana Shores

Peer Specialist · Chickasha, OK

NPI number 1720705379 Active

Practice location

804 W Choctaw Ave
Chickasha, OK 73018-2310

Mailing address

615 E Texas Dr Apt 802
Anadarko, OK 73005-5270

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 1720705379

Shana Shores's National Provider Identifier is 1720705379, issued on Oct 25, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Chickasha, OK. The record was last updated on Jul 28, 2025.