person
Bonnie Davis
Professional Counselor in Antigo, Wisconsin
NPI 1568559326

Bonnie Davis is a Professional Counselor based in Wausau, WI and is specialized in Professional. Bonnie Davis practices in Antigo, WI. The NPI Number for Bonnie Davis is 1568559326 and holds a License No. 12443 (Wisconsin).

The current practice location address for Bonnie Davis is 1225 Langlade Road, Antigo, WI and can be reached out via phone at 715-623-2394 and via fax at 715-627-4194.

Location: 1225 Langlade Road, Antigo, WI, 54403
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Provider Profile Details
NPI Number
1568559326
Provider Name
Bonnie Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1225 Langlade Road, Antigo, WI, 54403
Phone Number
715-623-2394
Fax Number
715-627-4194
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39267400 05 WI
institution
Provider Business Practice Location Address Details
Address
1225 Langlade Road
City
State
Zip
54409
Phone Number
715-623-2394
Fax Number
715-627-4194
person
Provider Business Mailing Address Details
Address
1225 Langlade Road
City
State
Zip
54409
Phone Number
715-623-2394
Fax Number
715-627-4194
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
992-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
12443 (Wisconsin)
Definition
Definition to come...
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