Individual
JANICE MARY BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1749 E BROAD ST, HAZLETON, PA 18201-5650
(570) 454-2474
Mailing address
32 BRIDGE ST, MCADOO, PA 18237-2419
(570) 929-2813
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC000050
PA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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