What is Jermaine Peterson's NPI number?

The NPI number assigned to this healthcare provider is 1508152448, enumerated as a individual on June 20, 2011.

Where is the provider located?

The provider is located at 2701 N OKLAHOMA AVE OKLAHOMA CITY, OK 73105 and the phone number is (405) 524-2673.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

MR. JERMAINE PETERSON M.ED. - NPI 1508152448 - Counselor in Oklahoma City, OK

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About Mr. Jermaine Peterson M.ed. NPPES

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

MR. JERMAINE PETERSON M.ED. (NPI 1508152448) is an individual mental health provider in Oklahoma City, Oklahoma and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1508152448

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. JERMAINE PETERSONCredential: M.ED.

Location Address2701 N OKLAHOMA AVEOklahoma City, OK 73105-2724

Mailing Address9220 E 50th StTulsa, OK 74145-7327

Phone(405) 524-2673

Sole ProprietorNo

Enumeration DateJune 20, 2011

✔ NPI 1508152448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

2701 N OKLAHOMA AVE, Oklahoma City, OK 73105

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Other Providers at the Same Location NPPES 20

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

MISS KRISTA LYNN BROOKE CADC UNDER SUPERVISI

Counselor (Addiction (Substance Use Disorder))