Individual
MRS. ALEXIS VICTORIA BONSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA, NCC
Contact information
Practice address
304 E PHIFER ST, MONROE, NC 28110-3039
(980) 224-4685
Mailing address
1858 YELLOW DAISY DR, STALLINGS, NC 28104-4149
(704) 780-0919
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12799
NC
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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