Individual
BONITA DAWN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1223 S SAINT FRANCIS DR STE E, SANTA FE, NM 87505-4053
(505) 982-8098
(505) 982-3948
Mailing address
1223 S SAINT FRANCIS DR STE E, SANTA FE, NM 87505-4053
(505) 577-4273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0115291
NM
Other
Enumeration date
08/21/2006
Last updated
08/21/2022
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