Individual provider · Type 1 NPI

Tara Peterson

Peer Specialist · Tulsa, OK

NPI number 1790417632 Active

Practice location

7477 E 46th Pl
Tulsa, OK 74145-6305

Mailing address

11305 E 4th St
Tulsa, OK 74128-2006

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 1790417632

Tara Peterson's National Provider Identifier is 1790417632, issued on Jun 29, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Jun 29, 2022.