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Stephen Robert Wilson, PRS
Peer Specialist in Xenia, Ohio
NPI 1205517174

Stephen Robert Wilson is a Peer Specialist based in Xenia, OH. Stephen Robert Wilson practices in Xenia, OH and has the professional credentials of PRS. The NPI Number for Stephen Robert Wilson is 1205517174 and holds a License No. APS.003911 (Ohio).

The current practice location address for Stephen Robert Wilson is 2960 W Enon Rd, Xenia, OH and can be reached out via phone at 937-272-4925 and via fax at 937-984-4346.

Location: 2960 W Enon Rd, Xenia, OH, 45385-8548
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205517174
Provider Name
Stephen Robert Wilson
Credential
PRS
Provider Entity Type
Individual
Gender
Male
Address
2960 W Enon Rd, Xenia, OH, 45385-8548
Phone Number
937-272-4925
Fax Number
937-984-4346
Provider Enumeration Date
07/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2960 W Enon Rd
City
Xenia
State
Ohio
Zip
45385-8548
Phone Number
937-272-4925
Fax Number
937-984-4346
person
Provider Business Mailing Address Details
Address
2960 W Enon Rd
City
Xenia
State
Ohio
Zip
45385-8548
Phone Number
937-272-4925
Fax Number
937-984-4346
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
APS.003911 (Ohio)
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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