person
Bonita Joy Avery, BA
Mental Health Counselor in Idaho Falls, Idaho
NPI 1780941278

Bonita Joy Avery is a Mental Health Counselor based in Ammon, ID and is specialized in Mental Health. Bonita Joy Avery practices in Idaho Falls, ID and has the professional credentials of BA. The NPI Number for Bonita Joy Avery is 1780941278 and holds a License No. LCPC-5709 (Idaho).

The current practice location address for Bonita Joy Avery is 1740 E 17Th St, Idaho Falls, ID and can be reached out via phone at 208-346-8866.

Location: 1740 E 17Th St, Idaho Falls, ID, 83406-6601
person
Provider Profile Details
NPI Number
1780941278
Provider Name
Bonita Joy Avery
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
1740 E 17Th St, Idaho Falls, ID, 83406-6601
Phone Number
208-346-8866
Fax Number
Provider Enumeration Date
04/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1740 E 17Th St
City
State
Zip
83404-6375
Phone Number
208-346-8866
Fax Number
person
Provider Business Mailing Address Details
Address
1740 E 17Th St
City
State
Zip
83404-6375
Phone Number
208-346-8866
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC-5709 (Idaho)
Definition
Definition to come...
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