Individual provider · Type 1 NPI

Jordan Tanner Lane

Peer Specialist · Yukon, OK

NPI number 1891493060 Active

Practice location

9217 NW 71st St
Yukon, OK 73099-7445

Call (405) 651-8162 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 1891493060

Jordan Tanner Lane's National Provider Identifier is 1891493060, issued on Feb 17, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Yukon, OK. The record was last updated on Feb 17, 2023.