Individual provider · Type 1 NPI

Jacob Thomas Dodgen

Peer Specialist · Oklahoma City, OK

NPI number 1730886904 Active

Practice location

2517 N Warren Ave
Oklahoma City, OK 73107-1052

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 1730886904

Jacob Thomas Dodgen's National Provider Identifier is 1730886904, issued on Feb 8, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Feb 8, 2023.