Provider Demographics
NPI:1558630558
Name:BOKSH, YIMARA K (BHRS)
Entity Type:Individual
Prefix:MS
First Name:YIMARA
Middle Name:K
Last Name:BOKSH
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:MS
Other - First Name:YIMARA
Other - Middle Name:K
Other - Last Name:BOKSH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BHRS
Mailing Address - Street 1:PO BOX 60082
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73146-0082
Mailing Address - Country:US
Mailing Address - Phone:405-219-4338
Mailing Address - Fax:
Practice Address - Street 1:1705 GEETA RD
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-3707
Practice Address - Country:US
Practice Address - Phone:405-219-4338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKBHRS CERTIFICATE101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor