Individual
ALLENA LACEE LONEBEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W. BROADWAY ST., THOMAS, OK 73669
(580) 661-3488
Mailing address
702 N 6TH ST, THOMAS, OK 73669-8108
(580) 309-0022
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/25/2022
Last updated
02/17/2025
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