Provider Demographics
NPI:1982933933
Name:BOND, DONNA LEEANN (MSCMLPCUNDERSUPERVIS)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:LEEANN
Last Name:BOND
Suffix:
Gender:F
Credentials:MSCMLPCUNDERSUPERVIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 734
Mailing Address - Street 2:728 LAKEVIEW DRIVE
Mailing Address - City:HARTSHORNE
Mailing Address - State:OK
Mailing Address - Zip Code:74547-0734
Mailing Address - Country:US
Mailing Address - Phone:918-423-4700
Mailing Address - Fax:918-302-4641
Practice Address - Street 1:111 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-5363
Practice Address - Country:US
Practice Address - Phone:918-423-5205
Practice Address - Fax:918-423-5255
Is Sole Proprietor?:No
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor