Individual provider · Type 1 NPI

Kedra Kay Wade

Peer Specialist · Vinita, OK

NPI number 1801463609 Active

Practice location

405 E Excelsior Ave
Vinita, OK 74301-4226

Fax (918) 256-3628

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 1801463609

Kedra Kay Wade's National Provider Identifier is 1801463609, issued on Jun 9, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Vinita, OK. The record was last updated on Dec 29, 2021.