Lonna Bouton is a Peer Specialist based in Tonkawa, OK. Lonna Bouton practices in Ponca City, OK. The NPI Number for Lonna Bouton is 1720705635 and holds a License No. (Oklahoma).
The current practice location address for Lonna Bouton is 1904 N Union St, Ponca City, OK and can be reached out via phone at 580-541-4857.
Location: 1904 N Union St, Ponca City, OK, 74653-5526
Provider Profile Details
NPI Number
1720705635
Provider Name
Lonna Bouton
Credential
Provider Entity Type
Individual
Gender
Female
Address
1904 N Union St, Ponca City, OK, 74653-5526
Phone Number
580-541-4857
Fax Number
Provider Enumeration Date
10/21/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1904 N Union St
City
State
Zip
74601-1542
Phone Number
580-541-4857
Fax Number
Provider Business Mailing Address Details
Address
1904 N Union St
City
State
Zip
74601-1542
Phone Number
580-541-4857
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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