Individual
MS. BONNIE STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
209 DUNLAWTON AVE, 16, PORT ORANGE, FL 32127-4472
(386) 689-2283
Mailing address
2700 N PENINSULA AVE APT 221, NEW SMYRNA BEACH, FL 32169-2091
(386) 689-2283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH2984
FL
Other
Enumeration date
05/23/2009
Last updated
05/23/2009
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