Individual
JAMES KENNETH BONAFIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMFT
Contact information
Practice address
10801 WEST 87TH STREET, SUITE 300, OVERLAND PARK, KS 66214
(913) 438-2100
Mailing address
530 E CHEYENNE ST, GARDNER, KS 66030
(816) 806-2239
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCMFT685
KS
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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