Individual provider · Type 1 NPI
Charles John Mountain
Peer Specialist · Chickasha, OK
NPI number
1992519722
Active
Practice location
141 Skyline Dr
Chickasha, OK 73018-7265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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 1992519722
Charles John Mountain's National Provider Identifier is 1992519722, issued on Feb 3, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Chickasha, OK. The record was last updated on Feb 3, 2025.