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Mrs. Bonita L Weber Richardson
Counselor in Menomonie, Wisconsin
NPI 1336214287

Bonita L Weber Richardson is a Counselor based in Menomonie, WI. Bonita L Weber Richardson practices in Menomonie, WI. The NPI Number for Bonita L Weber Richardson is 1336214287 and holds a License No. 1967 125 (Wisconsin).

The current practice location address for Bonita L Weber Richardson is 2321 Stout Rd, Menomonie, WI and can be reached out via phone at 715-235-5531.

Location: 2321 Stout Rd, Menomonie, WI, 54751-7003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336214287
Provider Name
Bonita L Weber Richardson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2321 Stout Rd, Menomonie, WI, 54751-7003
Phone Number
715-235-5531
Fax Number
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39777700 05 WI
institution
Provider Business Practice Location Address Details
Address
2321 Stout Rd
City
Menomonie
State
Wisconsin
Zip
54751-7003
Phone Number
715-235-5531
Fax Number
person
Provider Business Mailing Address Details
Address
2321 Stout Rd
City
Menomonie
State
Wisconsin
Zip
54751-7003
Phone Number
715-235-5531
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1967 125 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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