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Individual

JADA ALEXANDRA BOST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
400 E SYCAMORE ST, HOLLIS, OK 73550-1436
(580) 688-2800
(580) 688-2193
Mailing address
400 E SYCAMORE ST, HOLLIS, OK 73550-1436
(580) 688-2800
(580) 688-2193

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11366
OK

Other

Enumeration date
07/18/2019
Last updated
02/18/2025
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