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Gregory Wayne Bunch, 175T00000X
Peer Specialist in Stilwell, Oklahoma
NPI 1144727009

Gregory Wayne Bunch is a Peer Specialist based in Stilwell, OK. Gregory Wayne Bunch practices in Stilwell, OK and has the professional credentials of 175T00000X. The NPI Number for Gregory Wayne Bunch is 1144727009 and holds a License No. (Oklahoma).

The current practice location address for Gregory Wayne Bunch is 106 W Maple St, Stilwell, OK and can be reached out via phone at 918-708-3006 and via fax at 918-777-9016.

Location: 106 W Maple St, Stilwell, OK, 74960-3100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144727009
Provider Name
Gregory Wayne Bunch
Credential
175T00000X
Provider Entity Type
Individual
Gender
Male
Address
106 W Maple St, Stilwell, OK, 74960-3100
Phone Number
918-708-3006
Fax Number
918-777-9016
Provider Enumeration Date
04/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
106 W Maple St
City
Stilwell
State
Oklahoma
Zip
74960-3100
Phone Number
918-708-3006
Fax Number
918-777-9016
person
Provider Business Mailing Address Details
Address
106 W Maple St
City
Stilwell
State
Oklahoma
Zip
74960-3100
Phone Number
918-708-3006
Fax Number
918-777-9016
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
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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