Individual provider · Type 1 NPI

Jordan Gabrielle Tillery

Peer Specialist · El Reno, OK

NPI number 1821829003 Active

Practice location

501 SW 23rd St
El Reno, OK 73036-5855

Call (405) 503-5672 Map

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 1821829003

Jordan Gabrielle Tillery's National Provider Identifier is 1821829003, issued on Aug 9, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in El Reno, OK. The record was last updated on Aug 9, 2024.