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Brian Keith Utley I
Peer Specialist in Madill, Oklahoma
NPI 1790254993

Brian Keith Utley I is a Peer Specialist based in Milburn, OK. Brian Keith Utley I practices in Madill, OK. The NPI Number for Brian Keith Utley I is 1790254993 and holds a License No. (Oklahoma).

The current practice location address for Brian Keith Utley I is 100 Plaza Rm 305, Madill, OK and can be reached out via phone at 580-257-2002 and via fax at 580-795-9454.

Location: 100 Plaza Rm 305, Madill, OK, 73450-9581
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790254993
Provider Name
Brian Keith Utley I
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 Plaza Rm 305, Madill, OK, 73450-9581
Phone Number
580-257-2002
Fax Number
580-795-9454
Provider Enumeration Date
11/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Plaza Rm 305
City
Madill
State
Oklahoma
Zip
73446-2273
Phone Number
580-257-2002
Fax Number
580-795-9454
person
Provider Business Mailing Address Details
Address
100 Plaza Rm 305
City
Madill
State
Oklahoma
Zip
73446-2273
Phone Number
580-257-2002
Fax Number
580-795-9454
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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