Provider Demographics
NPI:1326309345
Name:BOKO, KAREENA MARIE
Entity Type:Individual
Prefix:MRS
First Name:KAREENA
Middle Name:MARIE
Last Name:BOKO
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KAREENA
Other - Middle Name:MARIE
Other - Last Name:NICHOLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5561 S 48TH ST STE 215G
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4139
Mailing Address - Country:US
Mailing Address - Phone:402-580-8835
Mailing Address - Fax:
Practice Address - Street 1:5561 S 48TH ST STE 215G
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4139
Practice Address - Country:US
Practice Address - Phone:402-580-8835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health