Individual provider · Type 1 NPI

Kourtne Van Doren

Community/Behavioral Health Agency · Edmond, OK

NPI number 1295037216 Active

Practice location

2409 Stonehenge Dr
Edmond, OK 73034-6480

Fax (405) 850-3346

Mailing address

2401 Northwood Ln
Edmond, OK 73013-5633

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1295037216

Kourtne Van Doren's National Provider Identifier is 1295037216, issued on Nov 23, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Edmond, OK. The record was last updated on Aug 7, 2017.