Individual
BONNIE ROSE THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
24 3RD AVE NE, UNIT B, OSSEO, MN 55369
(651) 560-0050
(651) 925-0257
Mailing address
303 21ST ST STE 232, NEWPORT, MN 55055-1182
(651) 560-0050
(651) 925-0257
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2630
MN
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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