Individual
MS. BONNIE N SHAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MCGEE RD, ANDERSON, SC 29625-2104
(864) 260-2221
(864) 260-2225
Mailing address
200 MCGEE RD, ANDERSON, SC 29625-2104
(864) 260-2221
(864) 260-2225
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508814625
—
SC
Enumeration date
08/18/2009
Last updated
08/18/2009
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