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Stephanie L Killough
Peer Specialist in Stilwell, Oklahoma
NPI 1578210795

Stephanie L Killough is a Peer Specialist based in Stilwell, OK. Stephanie L Killough practices in Stilwell, OK. The NPI Number for Stephanie L Killough is 1578210795 and holds a License No. (Oklahoma).

The current practice location address for Stephanie L Killough is 716 S 2Nd St # 1014, Stilwell, OK and can be reached out via phone at 918-696-6212.

Location: 716 S 2Nd St # 1014, Stilwell, OK, 74960-4538
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578210795
Provider Name
Stephanie L Killough
Credential
Provider Entity Type
Individual
Gender
Female
Address
716 S 2Nd St # 1014, Stilwell, OK, 74960-4538
Phone Number
918-696-6212
Fax Number
Provider Enumeration Date
03/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
716 S 2Nd St # 1014
City
Stilwell
State
Oklahoma
Zip
74960-4806
Phone Number
918-696-6212
Fax Number
person
Provider Business Mailing Address Details
Address
716 S 2Nd St # 1014
City
Stilwell
State
Oklahoma
Zip
74960-4806
Phone Number
918-696-6212
Fax Number
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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