Individual provider · Type 1 NPI

Kristen Leann Boldra

Peer Specialist · Jay, OK

NPI number 1104518372 Active

Practice location

1015 W Washbourne St
Jay, OK 74346-4205

Call (918) 308-5513 Map

Fax (918) 253-6645

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1104518372

Kristen Leann Boldra's National Provider Identifier is 1104518372, issued on May 24, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Jay, OK. The record was last updated on May 24, 2023.