Rickey Allen Thornburg is a peer specialist in Tahlequah, 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. Rickey Allen Thornburg NPI is 1750150256. 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:
717 BUTLER ST
TAHLEQUAH, OK
ZIP 74464-400
Phone: (580) 399-6955
The enumeration date for this NPI number is 12/26/2023 and was last updated on 12/26/2023.