Individual
ALLISHA GAYLE SKINNER BONNEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED,LPC
Contact information
Practice address
7700 FM 1130, ORANGE, TX 77632-3740
(409) 988-4221
Mailing address
7700 FM 1130, ORANGE, TX 77632-3740
(409) 988-4221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14019
TX
101YP2500X
Professional Counselor
Primary
14019
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168911901
—
TX
Enumeration date
08/22/2006
Last updated
06/08/2020
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