Individual
BONNI JEAN STOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M ED
Contact information
Practice address
2749 ALOMA AVE, WINTER PARK, FL 32792
(407) 657-6692
Mailing address
2 COUNTRY CLUB RD, #24, COCOA BEACH, FL 32931-2060
(321) 626-1814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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