person
Mrs. Kristen Leann Boldra
Peer Specialist in Jay, Oklahoma
NPI 1104518372

Kristen Leann Boldra is a Peer Specialist based in Jay, OK. Kristen Leann Boldra practices in Jay, OK. The NPI Number for Kristen Leann Boldra is 1104518372 and holds a License No. (Oklahoma).

The current practice location address for Kristen Leann Boldra is 1015 W Washbourne St, Jay, OK and can be reached out via phone at 918-308-5513 and via fax at 918-253-6645.

Location: 1015 W Washbourne St, Jay, OK, 74346-4205
person
Provider Profile Details
NPI Number
1104518372
Provider Name
Kristen Leann Boldra
Credential
Provider Entity Type
Individual
Gender
Female
Address
1015 W Washbourne St, Jay, OK, 74346-4205
Phone Number
918-308-5513
Fax Number
918-253-6645
Provider Enumeration Date
05/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1015 W Washbourne St
City
Jay
State
Zip
74346-4205
Phone Number
918-308-5513
Fax Number
918-253-6645
person
Provider Business Mailing Address Details
Address
1015 W Washbourne St
City
Jay
State
Zip
74346-4205
Phone Number
918-308-5513
Fax Number
918-253-6645
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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