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Individual

OLENA ALEX PROKOPENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2060 CAMPUS DR, YREKA, CA 96097-9538
(530) 918-7203
Mailing address
2060 CAMPUS DR, YREKA, CA 96097-9538

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
09/27/2018
Last updated
09/27/2018
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