Individual
MS. LINDA BONEBRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
90 E LESLIE LN, C/O PHOENIX PROGRAMS, INC., COLUMBIA, MO 65202-1535
(573) 875-8880
(573) 442-3830
Mailing address
90 E LESLIE LN, C/O PHOENIX PROGRAMS, INC., COLUMBIA, MO 65202-1535
(573) 875-8880
(573) 442-3830
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004011117
MO
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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