Individual provider · Type 1 NPI

Jaci Maddox

Peer Specialist · Bartlesville, OK

NPI number 1821463142 Active

Practice location

700 S.w. Penn
Bartlesville, OK 74003-3847

Fax (918) 337-8099

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 1821463142

Jaci Maddox's National Provider Identifier is 1821463142, issued on Dec 11, 2015. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bartlesville, OK. The record was last updated on Feb 21, 2022.