Individual
ANGELA BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
34406 N 27TH DR STE 173, PHOENIX, AZ 85085-7735
(623) 215-9958
Mailing address
PO BOX 12528, GLENDALE, AZ 85318-2528
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC-16098
AZ
101YP2500X
Professional Counselor
Primary
LPC-23176
AZ
Other
Enumeration date
01/08/2017
Last updated
06/24/2024
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