Individual
CALEB JOSHUA BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
410 E 11TH AVE, BOWLING GREEN, KY 42101-2637
(270) 438-3191
Mailing address
410 E 11TH AVE, BOWLING GREEN, KY 42101-2637
(270) 438-3191
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
241007
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100372080
—
KY
Enumeration date
11/09/2015
Last updated
02/02/2024
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