Individual
MR. BOHANAN ANTHONY BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 ROBERT S KERR AVE, ROOM 505, OKLAHOMA CITY, OK 73102-3457
(405) 713-1600
(405) 235-1567
Mailing address
320 ROBERT S KERR AVE, ROOM 505, OKLAHOMA CITY, OK 73102-3457
(405) 713-1600
(405) 235-1567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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