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Individual

DIANA BONUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LMHC

Contact information

Practice address
2190 NW 82ND ST STE 1, CLIVE, IA 50325-5510
(515) 661-4985
Mailing address
2190 NW 82ND ST STE 1, CLIVE, IA 50325-5510
(515) 661-4985

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
073826
IA

Other

Enumeration date
06/06/2014
Last updated
08/18/2025
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