Individual
BONITA POLOSKY BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
26 E JOHNSTON ST, FORSYTH, GA 31029-2219
(478) 731-2229
(478) 992-9094
Mailing address
26 E JOHNSTON ST, FORSYTH, GA 31029-2219
(478) 731-2229
(478) 992-9094
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2182
GA
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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