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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JEFFREY DAVID PRUSA, MA, LPC, LCPC

Active

MR. JEFFREY DAVID PRUSA, MA, LPC, LCPC is a Professional Counselor healthcare provider located in VINITA, Oklahoma. NPI 1245372424 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · VINITA, OK

Registration Details

NPI Number
1245372424
Provider Type
Individual
Gender
Male
NPI Issued
Feb 13, 2007 (19.48037751706 yrs)
Last Updated
Sep 10, 2012
Licenses
2006038837 (MO)
1035 (KS)
4871 (OK)

Practice Information

Address
1520 INDUSTRIAL AVE
VINITA, OK, 743014803
Browse OK providers · Browse ZIP 74301
Phone
9182567518
Fax
9182566771
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in VINITA, OK

Name Credential NPI
MR. KEVAN BRIAN FINLEY LPC 1356479943
DIANE B HAMILTON LPC 1205056496
DAVID W PEACE BS 1679795124
MS. AMANDA KAY PIPINS LPC 1942450887
MS. CHRIS HERRERA MS LPC 1437383320
MICHELLE GRIMMER 1265897656
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.