Individual provider · Type 1 NPI

Kevonda Fuller

Peer Specialist · Edmond, OK

NPI number 1952966699 Active

Practice location

13707 Fairhill Ave
Edmond, OK 73013-1946

Call (405) 607-4041 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 1952966699

Kevonda Fuller's National Provider Identifier is 1952966699, issued on May 8, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Edmond, OK. The record was last updated on May 8, 2019.