Provider Demographics
NPI:1447502562
Name:RHONE, EBONIE LAQUION
Entity type:Individual
Prefix:
First Name:EBONIE
Middle Name:LAQUION
Last Name:RHONE
Suffix:
Gender:F
Credentials:
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 653
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:OK
Mailing Address - Zip Code:73084-0653
Mailing Address - Country:US
Mailing Address - Phone:405-708-2106
Mailing Address - Fax:
Practice Address - Street 1:2012 EASTRIDGE DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73141-2222
Practice Address - Country:US
Practice Address - Phone:405-708-2106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor