Mackenzie Linn Washa Valid NPI
Individual provider · Peer Specialist · Concho, OK
- NPI
- 1194304451
- Type
- Individual (Type 1)
- Primary specialty
- Peer Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 175T00000X
- License number
- D083324170 (OK)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-04-05
- Last updated
- 2021-04-05
Practice location
100 Red Moon Circle, Tribal Opioid Response Project
Concho, OK 73022-7302
(405) 422-7452