Individual provider · Type 1 NPI

Eleacia Lerayne Jordan

Peer Specialist · Stilwell, OK

NPI number 1902690977 Active

Practice location

611 N 4th St
Stilwell, OK 74960-2417

Call (918) 696-6212 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 1902690977

Eleacia Lerayne Jordan's National Provider Identifier is 1902690977, issued on Apr 7, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Stilwell, OK. The record was last updated on Apr 7, 2025.