Individual
BONNIE LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 N STATE ST, UKIAH, CA 95482-3410
(707) 462-7267
Mailing address
PO BOX 2077, UKIAH, CA 95482-2077
(707) 467-2010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
93573
CA
101YM0800X
Mental Health Counselor
Primary
93573
CA
225C00000X
Rehabilitation Counselor
93573
CA
Other
Enumeration date
03/11/2014
Last updated
02/03/2020
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