Provider Demographics
NPI:1881798395
Name:RISLEY, S. ZHANA BOSA (LPC)
Entity type:Individual
Prefix:
First Name:S. ZHANA
Middle Name:BOSA
Last Name:RISLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SNEZANA
Other - Middle Name:BOSA
Other - Last Name:RELJIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:6004 NW 16TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-2604
Mailing Address - Country:US
Mailing Address - Phone:405-760-6060
Mailing Address - Fax:
Practice Address - Street 1:2401 NW 23RD ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-2442
Practice Address - Country:US
Practice Address - Phone:405-522-8185
Practice Address - Fax:405-522-8187
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1916101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health