Individual
MRS. BONNIE LOU BARAKAT-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5281 NAVY RD, MILLINGTON, TN 38053-2535
(901) 873-0305
(901) 873-0306
Mailing address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 476-8967
(901) 746-2498
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PE0000001693
TN
Other
Enumeration date
11/04/2010
Last updated
03/16/2015
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