Individual provider · Type 1 NPI
Justin Anthony Conkling
Peer Specialist · Newalla, OK
NPI number
1831730142
Active
Practice location
18101 SE44TH Street
Newalla, OK 74857
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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 1831730142
Justin Anthony Conkling's National Provider Identifier is 1831730142, issued on Oct 8, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Newalla, OK. The record was last updated on Oct 8, 2019.