Individual
BONNIE SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC11789
AZ
385HR2055X
Child Mental Illness Respite Care
2281558
AZ
Other
Enumeration date
05/28/2010
Last updated
10/24/2023
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