KOURTLAND BLAIR MCMILLAN
NPI 1255196697
Peer Specialist in Wagner, OK
- Individual
- Male
- Peer Specialist
About KOURTLAND MCMILLAN
This page provides the complete NPI Profile along with additional information for Kourtland Mcmillan, a provider established in Wagner, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1255196697 assigned on February 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1255196697 Verify this NPI
- Provider Name
- KOURTLAND BLAIR MCMILLAN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 215 NE 1ST STREET WAGNER, OK 74467
- Location Phone
- (918) 201-4333
- Mailing Address
- 215 NE 1ST ST WAGONER, OK 74467
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-15-2024
- Last Update Date
- 02-15-2024
- Code Navigator
Location Map
Secondary Locations
- 215 NE 1st St
Wagoner, OK 74467
(918) 201-4333
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
Reviews for KOURTLAND BLAIR MCMILLAN
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255196697, enumerated as an "individual" on February 15, 2024.
The provider is located at 215 NE 1ST STREET WAGNER, OK 74467 and the phone number is (918) 201-4333.
Peer Specialist with taxonomy code 175T00000X.
