Individual
RHONDA JO BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC LBP
Contact information
Practice address
29501 KICKAPOO RD, MCLOUD, OK 74851-8320
(405) 964-1720
Mailing address
2113 HASLEY DR, THE VILLAGE, OK 73120-4917
(405) 767-3331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
530
OK
101YM0800X
Mental Health Counselor
0222
OK
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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