Individual provider · Type 1 NPI

Brian Keith Wilbourn

Peer Specialist · Maud, OK

NPI number 1811675002 Active

Practice location

32018 Hwy 59-OK
Maud, OK 74854

Fax (866) 201-3530

Mailing address

PO Box 8
Maud, OK 74854-0008

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 1811675002

Brian Keith Wilbourn's National Provider Identifier is 1811675002, issued on Jul 7, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Maud, OK. The record was last updated on Jul 7, 2023.