Jackie Ray Wilson is a peer specialist in Stroud, OK. The provider is 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. Jackie Ray Wilson NPI is 1831835107. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
119 W 2ND ST
STROUD, OK
ZIP 74079-011
Phone: (405) 328-1549
The enumeration date for this NPI number is 5/10/2022 and was last updated on 12/16/2022.