| Lon Paul Bokker Sr, LPC PHD | |
|
#4 East Cherokee Village Mall, Cherokee Village, AR 72529 | |
| (870) 257-3336 | |
| (870) 257-3339 |
| Full Name | Lon Paul Bokker Sr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | #4 East Cherokee Village Mall, Cherokee Village, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518992163 | NPI | - | NPPES |
| 5X919 | Other | AR | BLUECROSS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Bokker Enterprises Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508040262 PECOS PAC ID: 8628153194 Enrollment ID: O20080307000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Lon Paul Bokker Sr, LPC PHD Po Box 176, Cherokee Village, AR 72525 Ph: (870) 257-3336 | Lon Paul Bokker Sr, LPC PHD #4 East Cherokee Village Mall, Cherokee Village, AR 72529 Ph: (870) 257-3336 |
Mrs. Betty C. Eash, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 33 Choctaw Trce, Cherokee Village, AR 72529 Phone: 870-972-4939 Fax: 870-972-4911 | |
Cassidy Day, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 East Cherokee Village Mall, Cherokee Village, AR 72529 Phone: 870-257-3336 Fax: 870-257-3339 | |
Robin Stuntz-christian, LAC Counselor Medicare: Medicare Enrolled Practice Location: #4 Cherokee Village Mall, Cherokee Village, AR 72529 Phone: 870-847-2210 | |
Cicily Jenkins, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 East Cherokee Village Mall, Cherokee Village, AR 72529 Phone: 870-257-3336 Fax: 870-257-3339 | |
Mr. Thomas Norton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 33 Choctaw Trce, Cherokee Village, AR 72529 Phone: 870-972-4939 Fax: 870-972-4911 | |
Vicki Mcdaniel, RN BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 E. Village Mall, Cherokee Village, AR 72529 Phone: 870-257-3336 Fax: 870-257-3339 |