Individual
BONNIE BLEU YARDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1234 S POWER RD STE 250, MESA, AZ 85206-3742
(602) 633-5032
Mailing address
630 N WINDSOR, MESA, AZ 85213-6811
(928) 965-9889
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-16459
AZ
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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