Individual
BONI SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
600 22ND AVE NW, MINOT, ND 58703-0986
(701) 837-6508
(701) 858-1839
Mailing address
600 22ND AVE NW, MINOT, ND 58703-0986
(701) 837-6508
(701) 858-1839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
352-3-1-96-112
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20281773958703A007
TRICARE
ND
01
—
27087
BCBSND
ND
Enumeration date
10/05/2006
Last updated
07/08/2007
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