IndividualActive
Cody Stephens
NPI 1073958211 · Counselor · Tishomingo, OK
Provider details
- NPI number
- 1073958211
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
501 N Fisher St Apt 9
Tishomingo, OK 73460-1318
Phone: (580) 920-5745
Approximate (ZIP-level) locationGet directions
Mailing address
501 N Fisher St Apt 9
Tishomingo, OK 73460-1318
Registry dates
- Enumerated
- 2013-05-01
- Last updated
- 2013-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.