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Patricia Bonner
Counselor in Lake City, Florida
NPI 1720448814

Patricia Bonner is a Counselor based in Lake City, FL. Patricia Bonner practices in Lake City, FL. The NPI Number for Patricia Bonner is 1720448814 and holds a License No. (Florida).

The current practice location address for Patricia Bonner is 922 Sw Baya Dr, Lake City, FL and can be reached out via phone at 386-754-9005 and via fax at 386-754-9017.

Location: 922 Sw Baya Dr, Lake City, FL, 32025-4209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720448814
Provider Name
Patricia Bonner
Credential
Provider Entity Type
Individual
Gender
Female
Address
922 Sw Baya Dr, Lake City, FL, 32025-4209
Phone Number
386-754-9005
Fax Number
386-754-9017
Provider Enumeration Date
03/02/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B560684699060 01 FL DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
922 Sw Baya Dr
City
Lake City
State
Florida
Zip
32025-4209
Phone Number
386-754-9005
Fax Number
386-754-9017
person
Provider Business Mailing Address Details
Address
922 Sw Baya Dr
City
Lake City
State
Florida
Zip
32025-4209
Phone Number
386-754-9005
Fax Number
386-754-9017
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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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