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Individual

MR. KEVIN ANTHONY BONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, LPC, LADC/MH

Contact information

Practice address
9 10TH AVE NW, ARDMORE, OK 73401-5929
(580) 226-1656
(844) 270-7511
Mailing address
9 10TH AVE NW, ARDMORE, OK 73401-5929
(580) 226-1656
(844) 270-7511

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YP2500X
Professional Counselor

Other

Enumeration date
02/05/2010
Last updated
05/11/2020
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