Individual provider · Type 1 NPI
Jackie Ray Wilson
Peer Specialist · Stroud, OK
NPI number
1831835107
Active
Practice location
119 W 2nd St
Stroud, OK 74079-4011
Mailing address
6333 E Skelly Dr
Tulsa, OK 74135-6106
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.
Other peer specialist providers in Stroud
About NPI 1831835107
Jackie Ray Wilson's National Provider Identifier is 1831835107, issued on May 10, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Stroud, OK. The record was last updated on Dec 16, 2022.