Individual
SARAH KATRINA BONNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2528 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4971
(505) 429-6029
Mailing address
2528 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4971
(505) 429-6029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CTL0206651
NM
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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