Individual provider · Type 1 NPI

Somer Jackson

Peer Specialist · Poplar Bluff, MO

NPI number 1760191803 Active

Practice location

3001 Warrior Ln
Poplar Bluff, MO 63901-8685

Call (573) 686-1200 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Peer Specialist Primary 175T00000X15674 (MO)

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 1760191803

Somer Jackson's National Provider Identifier is 1760191803, issued on Nov 17, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Sep 20, 2024.