# YOUTH SERVICES FOR STEPHENS COUNTY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497959399
- **Authorized official:** MR. JOHN HERDT M.C.J.A (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (580) 255-8800

## Contact information

- **Practice address:** 16 S 7TH ST, DUNCAN, OK 73533-4940
- **Practice address phone:** (580) 255-8800
- **Practice address fax:** (580) 255-8842
- **Mailing address:** 16 S 7TH ST, DUNCAN, OK 73533-4940
- **Mailing address phone:** (580) 255-8800
- **Mailing address fax:** (580) 255-8842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 160 | OK | Yes |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 08/22/2020