person
Boston K Prokop
Peer Specialist in Ada, Oklahoma
NPI 1245982008

Boston K Prokop is a Peer Specialist based in Ada, OK. Boston K Prokop practices in Ada, OK. The NPI Number for Boston K Prokop is 1245982008 and holds a License No. (Oklahoma).

The current practice location address for Boston K Prokop is 301 W 4Th St, Ada, OK and can be reached out via phone at 580-257-2444.

Location: 301 W 4Th St, Ada, OK, 74820-3411
person
Provider Profile Details
NPI Number
1245982008
Provider Name
Boston K Prokop
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 W 4Th St, Ada, OK, 74820-3411
Phone Number
580-257-2444
Fax Number
Provider Enumeration Date
01/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 W 4Th St
City
Ada
State
Zip
74820-3411
Phone Number
580-257-2444
Fax Number
person
Provider Business Mailing Address Details
Address
301 W 4Th St
City
Ada
State
Zip
74820-3411
Phone Number
580-257-2444
Fax Number
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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