Montana Perry

NPI #1154000925 in Wagoner, Oklahoma

Provider Information

NPI Number: 1154000925
Entity Type: Individual
Name: Montana Perry
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jul 17, 2023
Last Updated: Oct 19, 2023

Practice Location

Address: 109 S HARRILL AVE
City: Wagoner
State: Oklahoma
ZIP Code: 74467-5317
Phone: (918) 485-0204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Peer Specialist	175T00000X	Primary

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