Individual
BONNIE FENOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-21969
AZ
101YP2500X
Professional Counselor
Primary
LPC21969
AZ
Other
Enumeration date
04/03/2023
Last updated
01/13/2025
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