Individual provider · Type 1 NPI
John Howard Davis
Peer Specialist · Shawnee, OK
NPI number
1750905808
Active
Practice location
540 W Wallace St
Shawnee, OK 74801-5722
Mailing address
101 N Union Ave
Shawnee, OK 74801-7067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | 1750905808 (OK) |
| 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.
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About NPI 1750905808
John Howard Davis's National Provider Identifier is 1750905808, issued on Jun 4, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Shawnee, OK. The record was last updated on Jun 7, 2021.