Individual
BONITA LUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10 N MAIN ST, BURNSVILLE, NC 28714-2925
(828) 682-1551
(828) 682-2119
Mailing address
PO BOX 396, BURNSVILLE, NC 28714-0396
(828) 682-1551
(828) 682-2119
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
965
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102346
—
NC
Enumeration date
11/11/2006
Last updated
07/27/2011
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