Individual provider · Type 1 NPI

Ryan James Bodine

Peer Specialist · Tulsa, OK

NPI number 1992561468 Active

Practice location

6128 E 38th St
Tulsa, OK 74135-5832

Fax (918) 663-0203

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XE012076418 (OK)

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 1992561468

Ryan James Bodine's National Provider Identifier is 1992561468, issued on Feb 22, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Feb 22, 2024.