Individual provider · Type 1 NPI

Dominique Javon Thomas

Peer Specialist · Tulsa, OK

NPI number 1861240335 Active

Practice location

10708 E 41st St Apt 211
Tulsa, OK 74146-2606

Mailing address

10708 E 41st St
Tulsa, OK 74146-2606

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 1861240335

Dominique Javon Thomas's National Provider Identifier is 1861240335, issued on May 9, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on May 13, 2024.