Individual
LAURA BONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9401 INDIAN CREEK PKWY, BUILDING 40, SUITE 520, OVERLAND PARK, KS 66210
(308) 882-1747
Mailing address
4600 W 121ST TER APT 412, LEAWOOD, KS 66209-4202
(308) 882-1747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SATC257
NE
101YM0800X
Mental Health Counselor
Primary
04256
KS
Other
Enumeration date
04/23/2018
Last updated
05/01/2023
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