Individual
MS. VIKKI BONYATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA/M.ED/CADC/LPCC
Contact information
Practice address
4963 US HWY 23 N, SUITE 121, IVEL, KY 41642
(606) 653-1505
(606) 657-0354
Mailing address
PO BOX 343, PRESTONSBURG, KY 41653-0343
(606) 226-2531
(606) 657-0354
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0200
KY
101YM0800X
Mental Health Counselor
1301
KY
101YP2500X
Professional Counselor
Primary
1301
KY
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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