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Mr. Brian Keith Wilbourn
Peer Specialist in Maud, Oklahoma
NPI 1811675002

Brian Keith Wilbourn is a Peer Specialist based in Maud, OK. Brian Keith Wilbourn practices in Maud, OK. The NPI Number for Brian Keith Wilbourn is 1811675002 and holds a License No. (Oklahoma).

The current practice location address for Brian Keith Wilbourn is 32018 Hwy 59-Ok, Maud, OK and can be reached out via phone at 405-374-1225 and via fax at 866-201-3530. You can also correspond with Brian Keith Wilbourn through the mailing address at PO BOX 8, MAUD, OK - 74854-0008 (mailing address contact number: 405-374-1225).

Location: 32018 Hwy 59-Ok, Maud, OK, 74854-0008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811675002
Provider Name
Brian Keith Wilbourn
Credential
Provider Entity Type
Individual
Gender
Male
Address
32018 Hwy 59-Ok, Maud, OK, 74854-0008
Phone Number
405-374-1225
Fax Number
866-201-3530
Provider Enumeration Date
07/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
32018 Hwy 59-Ok
City
Maud
State
Oklahoma
Zip
74854
Phone Number
405-374-1225
Fax Number
866-201-3530
person
Provider Business Mailing Address Details
Address
32018 Hwy 59-Ok
City
Maud
State
Oklahoma
Zip
74854
Phone Number
405-374-1225
Fax Number
866-201-3530
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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