TRACE DARR

Peer Specialist

Active Individual
NPI: 1649931148

Practice Address

1336 N HARRISON AVE
Shawnee, OK 74801

Phone: (405) 424-7711

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X No -
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1649931148 is the National Provider Identifier for TRACE DARR, a Peer Specialist provider located in Shawnee, OK. This NPI was enumerated on January 6, 2022.
TRACE DARR practices at 1336 N HARRISON AVE, Shawnee, OK 74801.

Quick Facts

NPI
1649931148
Type
Individual
Enumerated
Jan 6, 2022
Last Updated
Mar 3, 2023

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