Individual provider · Type 1 NPI

Kim Stanford

Mental Health Counselor · Stilwell, OK

NPI number 1194170134 Active

Practice location

716 S 2nd St # 1014
Stilwell, OK 74960-4806

Call (919) 696-6212 Map

Fax (918) 696-6213

Mailing address

162 Alyene Dr
Stilwell, OK 74960-3230

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X06968 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1194170134

Kim Stanford's National Provider Identifier is 1194170134, issued on Apr 27, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stilwell, OK. The record was last updated on Aug 18, 2026.