Individual
BONNIE MARIE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 272-0660
(405) 425-0477
Mailing address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 272-0660
(405) 425-0477
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
UNDER SUPERVISION
OK
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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