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Dana Boldt Green, M.ed., Lpc, Ncgc-2, Pc
Community/Behavioral Health Agency in Kingston, Oklahoma
NPI 1518373513

Dana Boldt Green, M.ed., Lpc, Ncgc-2, Pc is a Community/Behavioral Health Agency based in Kingston, OK. Dana Boldt Green, M.ed., Lpc, Ncgc-2, Pc practices in Kingston, OK. The NPI Number for Dana Boldt Green, M.ed., Lpc, Ncgc-2, Pc is 1518373513 and holds a License No. 2011 (Oklahoma).

The current practice location address for Dana Boldt Green, M.ed., Lpc, Ncgc-2, Pc is 8800 Birch St, Kingston, OK and can be reached out via phone at 580-565-2252.

Location: 8800 Birch St, Kingston, OK, 73439-1800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518373513
Provider Name
Dana Boldt Green, M.ed., Lpc, Ncgc-2, Pc
Credential
Provider Entity Type
Organization
Address
8800 Birch St, Kingston, OK, 73439-1800
Phone Number
580-565-2252
Fax Number
Provider Enumeration Date
07/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8800 Birch St
City
Kingston
State
Oklahoma
Zip
73439
Phone Number
580-565-2252
Fax Number
person
Provider Business Mailing Address Details
Address
8800 Birch St
City
Kingston
State
Oklahoma
Zip
73439
Phone Number
580-565-2252
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
2011 (Oklahoma)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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