Individual
LON PAUL BOKKER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC PHD
Contact information
Practice address
#4 EAST CHEROKEE VILLAGE MALL, CHEROKEE VILLAGE, AR 72529
(870) 257-3336
(870) 257-3339
Mailing address
PO BOX 176, CHEROKEE VILLAGE, AR 72525
(870) 257-3336
(870) 257-3339
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X919
BLUECROSS PROVIDER NUMBER
AR
Enumeration date
07/12/2006
Last updated
01/25/2008
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