Individual provider · Type 1 NPI

Rickey Allen Thornburg Jr.

Peer Specialist · Tahlequah, OK

NPI number 1750150256 Active

Practice location

717 Butler St
Tahlequah, OK 74464-2400

Call (580) 399-6955 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 1750150256

Rickey Allen Thornburg Jr.'s National Provider Identifier is 1750150256, issued on Dec 26, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tahlequah, OK. The record was last updated on Dec 26, 2023.