Individual
BONNIE GOOSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4425 W OLIVE AVE, #140 & #200, GLENDALE, AZ 85302-3843
(602) 685-6000
(602) 930-0358
Mailing address
3003 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-2902
(602) 685-6132
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-16251
AZ
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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