Organization
ERIN BONSALL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN JEFFORDS BONSALL LCMHC (THERAPIST)
(336) 661-5053
Entity
Organization
Contact information
Practice address
2910 BRIARCLIFFE RD, WINSTON SALEM, NC 27106-3176
(336) 661-5053
Mailing address
2790 ACORN CT, WINSTON SALEM, NC 27106-5723
(336) 661-5053
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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