Individual
BONI PARKER HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
108 GILES AVE STE 102, WILMINGTON, NC 28403-4759
(910) 769-9691
(910) 239-8373
Mailing address
3402 KILDARE PL, WILMINGTON, NC 28409-2732
(910) 612-0655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17266
NC
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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