JERRY CONLEY II - NPI 1114761780 - Peer Specialist in Holdenville, OK

Q: What is Jerry Conley's NPI number?

The NPI number for Jerry Conley is 1114761780. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Q: What is Jerry Conley's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Conley was last updated on June 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jerry Conley Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY CONLEY II (NPI 1114761780) is an individual peer specialist in Holdenville, Oklahoma and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1114761780

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameJERRY CONLEY II

Location Address118 E MAIN STHoldenville, OK 74848-3208

Mailing Address128 Lakeside DrHoldenville, OK 74848-9535 · (405) 221-2469

Phone(405) 379-5381

Sole ProprietorNo

Enumeration DateJune 19, 2024

NPPES CertifiedJune 19, 2024

✔ NPI 1114761780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

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.

118 E MAIN ST, Holdenville, OK 74848

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ITHA JOYCE GRAY ICADC

Counselor (Addiction (Substance Use Disorder))