Individual provider · Type 1 NPI

Stephen Robert Wilson, PRS

Peer Specialist · Xenia, OH

NPI number 1205517174 Active

Practice location

2960 W Enon Rd
Xenia, OH 45385-8548

Fax (937) 984-4346

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XAPS.003911 (OH)

Peer Specialist: 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.

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About NPI 1205517174

Stephen Robert Wilson, PRS's National Provider Identifier is 1205517174, issued on Jul 25, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Xenia, OH. The record was last updated on Jul 25, 2023.