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
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.
Another provider at this address
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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.