| Doctor Name: | RHONDA JO BOWEN |
| NPI Number: | 1235419185 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LADC LBP |
| License Number: | 0222 |
| Business Practice Address: | 29501 Kickapoo Rd Mcloud, OK - 748518320 |
| Business Phone Number: | 4059641720 |
| Business Fax Number: | |
| Mailing Address: | 2113 Hasley Dr, THE VILLAGE |
| State: | OK |
| Postal Code: | 731204917 |
| Phone Number: | 4057673331 |
| Fax Number: | |
| NPI Enumeration Date: | 08/24/2011 |
| NPI Last Update Date: | 08/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0222 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |