person
Mr. Jeffrey David Prusa, MA,LPC,LCPC
Professional Counselor in Vinita, Oklahoma
NPI 1245372424

Jeffrey David Prusa is a Professional Counselor based in Monkey Island, OK and is specialized in Professional. Jeffrey David Prusa practices in Vinita, OK and has the professional credentials of MA,LPC,LCPC. The NPI Number for Jeffrey David Prusa is 1245372424 and holds a License No. 2006038837 (Oklahoma).

The current practice location address for Jeffrey David Prusa is 1520 Industrial Ave, Vinita, OK and can be reached out via phone at 918-256-7518 and via fax at 918-256-6771.

Location: 1520 Industrial Ave, Vinita, OK, 74331-3124
person
Provider Profile Details
NPI Number
1245372424
Provider Name
Jeffrey David Prusa
Credential
MA,LPC,LCPC
Provider Entity Type
Individual
Gender
Male
Address
1520 Industrial Ave, Vinita, OK, 74331-3124
Phone Number
918-256-7518
Fax Number
918-256-6771
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1520 Industrial Ave
City
State
Zip
74301-4803
Phone Number
918-256-7518
Fax Number
918-256-6771
person
Provider Business Mailing Address Details
Address
1520 Industrial Ave
City
State
Zip
74301-4803
Phone Number
918-256-7518
Fax Number
918-256-6771
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2006038837 (Missouri)
Definition
Definition to come...
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