| Doctor Name: | LON PAUL BOKKER |
| NPI Number: | 1518992163 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC PHD |
| License Number: | |
| Business Practice Address: | #4 East Cherokee Village Mall Cherokee Village, AR - 72529 |
| Business Phone Number: | 8702573336 |
| Business Fax Number: | 8702573339 |
| Mailing Address: | Po Box 176, CHEROKEE VILLAGE |
| State: | AR |
| Postal Code: | 72525 |
| Phone Number: | 8702573336 |
| Fax Number: | 8702573339 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 01/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |