Individual
MS. BONNIE L. GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
614 N NEVADA AVE, 205, COLORADO SPRINGS, CO 80903-5021
(719) 630-0287
Mailing address
614 N NEVADA AVE, 205, COLORADO SPRINGS, CO 80903-5021
(719) 630-0287
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3127
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
532849
—
CO
Enumeration date
07/07/2005
Last updated
07/09/2007
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