Individual provider · Type 1 NPI

Larry Don Rose

Peer Specialist · Oklahoma City, OK

NPI number 1912780255 Active

Practice location

2701 NW 39th Expy
Oklahoma City, OK 73112-3775

Mailing address

1320 N Rockwell Ave Apt B
Oklahoma City, OK 73127-3355

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 1912780255

Larry Don Rose's National Provider Identifier is 1912780255, issued on Aug 18, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 18, 2023.