Individual
KAYLA NICOLE BONEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
(701) 795-3050
Mailing address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
(701) 795-3050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
822-2-15-15
ND
101YP2500X
Professional Counselor
822-2-15-15A
ND
Other
Enumeration date
03/11/2015
Last updated
03/17/2018
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