Individual
KEVIN BONIFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8516 E 101ST ST STE E, TULSA, OK 74133-7035
(918) 900-1710
(918) 932-1408
Mailing address
8516 E 101ST ST STE E, TULSA, OK 74133-7035
(918) 900-1710
(918) 932-1408
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6072
OK
Other
Enumeration date
06/03/2014
Last updated
04/29/2021
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