SearchOklahoma101YP2500X

Theresa Page-Bohannan, LPC

NPI 1023238227 · on the registry since 2007 · sole proprietor

Practice

Address
414 E 3rd St Ste D
Grove, OK 74344
Phone
(918) 786-4331
Fax
(918) 786-4332
Clinicians at this address
2

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma