Individual
MS. BONNIE COLEEN JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
162J GROVE ST, BISHOP, CA 93514-2640
(760) 873-6533
(760) 873-3277
Mailing address
290 PIONEER ST, SANTA CRUZ, CA 95060-2133
(831) 459-0444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/08/2007
Last updated
10/24/2019
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