Individual
HEATHER CHRISTINE BONETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
100 POLK COUNTY PLZ STE 50, BALSAM LAKE, WI 54810-9097
(651) 208-5442
Mailing address
37887 HAWTHORNE AVE, NORTH BRANCH, MN 55056-5989
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6708-125
WI
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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