| Doctor Name: | MR. WILLIAM FRANK STOVALL |
| NPI Number: | 1114136314 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ICADC, SAP |
| License Number: | 280 |
| Business Practice Address: | 32 E Cherokee Ave Ste 104 Mcalester, OK - 745015323 |
| Business Phone Number: | 9184239400 |
| Business Fax Number: | 9184239400 |
| Mailing Address: | Hc 74 Box 89-5, HARTSHORNE |
| State: | OK |
| Postal Code: | 745479712 |
| Phone Number: | 9182973047 |
| Fax Number: | 9182973047 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 280 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |