Individual provider · Type 1 NPI
Logan McHael Southwell
Peer Specialist · Shawnee, OK
NPI number
1851146229
Active
Practice location
1601 Gordon Cooper Dr
Shawnee, OK 74801-9002
Fax (405) 273-1752
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 1851146229
Logan McHael Southwell's National Provider Identifier is 1851146229, issued on Apr 19, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Shawnee, OK. The record was last updated on Apr 19, 2024.