Individual
DR. DONALD LEWIS BOHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
10712 BALLANTRAYE DR, FREDERICKSBURG, VA 22407-4702
(928) 628-8517
(928) 502-1926
Mailing address
47 BASALT DR, FREDERICKSBURG, VA 22406-7229
(928) 502-1926
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007233
VA
Other
Enumeration date
09/09/2017
Last updated
09/09/2017
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