Individual
SHEBA M BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 LANIER AVE W STE 508, FAYETTEVILLE, GA 30214-7637
(678) 489-7384
Mailing address
3930 ADAMSVILLE DR SW, ATLANTA, GA 30331-3824
(404) 623-4063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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