Individual provider · Type 1 NPI

Jefferson Michael Jefferson

Peer Specialist · Oklahoma City, OK

NPI number 1770167090 Active

Practice location

900 N Portland Ave # 7
Oklahoma City, OK 73107-6120

Call (405) 945-6775 Map

Mailing address

2025 Churchill Way
The Village, OK 73120-1151

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 1770167090

Jefferson Michael Jefferson's National Provider Identifier is 1770167090, issued on May 12, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oklahoma City, OK. The record was last updated on May 12, 2021.