Individual provider · Type 1 NPI

Evan Brooke Maricle

Peer Specialist · Tulsa, OK

NPI number 1780483735 Active

Practice location

1729 S Baltimore Ave
Tulsa, OK 74119-4807

Mailing address

1401 W Bowen Pl
Tulsa, OK 74127-8528

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 1780483735

Evan Brooke Maricle's National Provider Identifier is 1780483735, issued on Mar 12, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Mar 13, 2025.