Organization
BONNY PARKHURST, LPC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNY PARKHURST MS, LPC (OWNER / LICENSED COUNSELOR)
(918) 202-9432
Entity
Organization
Contact information
Practice address
1201 E 33RD ST, TULSA, OK 74105-2017
(918) 292-9432
Mailing address
4524 S KINGSTON AVE, TULSA, OK 74135-6536
(918) 292-9432
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
5006
OK
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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