Individual
FAITH RALENA BONYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2901 PIGEON ROOST RD, RUSH, KY 41168-8132
(606) 928-6648
(606) 928-6648
Mailing address
2901 PIGEON ROOST RD, RUSH, KY 41168-8132
(606) 928-6648
(606) 928-1056
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.2101840-TRNE
OH
1041C0700X
Clinical Social Worker
Primary
257603
KY
1041C0700X
Clinical Social Worker
Primary
LCSW00001499
KY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/16/2021
Last updated
05/11/2026
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