Individual
MRS. BONNIE L ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
116 N MARSHALL ST, HENDERSON, TX 75652
(903) 655-8569
(903) 655-8569
Mailing address
1100 STONE ROAD, SUITE 102, KILGORE, TX 75662
(903) 986-9114
(903) 988-0243
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9341
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127235
CITIP
TX
01
—
83163L
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/28/2006
Last updated
07/08/2007
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