Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ladonna Renee Blackbear

Individual provider Peer Specialist · NPI 1104625201

Ladonna Renee Blackbear is a Peer Specialist in Tahlequah, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2025

Practice location Address checks out

113 W Keetoowah St
Tahlequah, OK 74464-3819
Phone: (918) 931-3700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (OK)

Record details

NPI number1104625201
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 11, 2025
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025
Mailing address113 W Keetoowah St, Tahlequah, OK 74464-3819

Other providers in Tahlequah