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

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 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.