Individual
ASHLEY ANN BONVILLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
23 EASTBROOK BND, SUITE 200, PEACHTREE CITY, GA 30269-1565
(770) 486-1140
(678) 669-2693
Mailing address
23 EASTBROOK BND, SUITE 200, PEACHTREE CITY, GA 30269-1565
(770) 486-1140
(678) 669-2693
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006412
GA
Other
Enumeration date
03/14/2013
Last updated
04/05/2013
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