Individual
MS. BONNIE KUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8389 REAGAN DR, KING GEORGE, VA 22485-7149
(804) 432-8727
Mailing address
13175 MARINA WAY APT 604, WOODBRIDGE, VA 22191-1285
(714) 244-8796
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PRC15021
DC
101YM0800X
Mental Health Counselor
PRC15021
DC
101YP2500X
Professional Counselor
Primary
0701008970
VA
101YP2500X
Professional Counselor
PRC15021
DC
Other
Enumeration date
04/17/2018
Last updated
01/30/2023
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