Theresa R Page-Bohannan, LPC

NPI #1023238227 in Grove, Oklahoma

Provider Information

NPI Number: 1023238227
Entity Type: Individual
Name: Theresa R Page-Bohannan, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Apr 27, 2007
Last Updated: Jul 29, 2008

Practice Location

Address: 414 E 3RD ST STE D
City: Grove
State: Oklahoma
ZIP Code: 74344-7130
Phone: (918) 786-4331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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