Individual provider · Type 1 NPI

Brian Keith Utley I

Peer Specialist · Madill, OK

NPI number 1790254993 Active

Practice location

100 Plaza Rm 305
Madill, OK 73446-2273

Fax (580) 795-9454

Mailing address

8501 S Project Ln
Milburn, OK 73450-9581

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

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 1790254993

Brian Keith Utley I's National Provider Identifier is 1790254993, issued on Nov 16, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Madill, OK. The record was last updated on Nov 16, 2018.