Individual
MRS. BONNIE MARIE NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
305 HANSON AVE, STE 170, FREDERICKSBURG, VA 22401
(540) 361-4330
(540) 361-4331
Mailing address
15 CATHDRAL LANE, STAFFORD, VA 22554
(540) 720-1191
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002528
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217867
BCBS
—
01
—
324122
MHN
—
Enumeration date
09/28/2006
Last updated
07/08/2007
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