Individual
BONNIE RENEE LACHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(405) 651-3908
Mailing address
3182 NW EXPRESSWAY, APT 407, OKLAHOMA CITY, OK 73112-4157
(405) 882-6973
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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