Individual
KAY J BONTRAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3009 AMITY HILL RD, STATESVILLE, NC 28677-9710
(704) 682-0989
Mailing address
155 AUTUMN FROST AVE, STATESVILLE, NC 28677-9058
(704) 528-1607
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3995
NC
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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