Individual
BETHE E. BONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6510 GRAND TETON PLZ STE 400, MADISON, WI 53719-1029
(608) 561-1310
Mailing address
5325 FAIRWAY DR, MADISON, WI 53711-1038
(608) 469-5137
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4870-125
WI
Other
Enumeration date
09/06/2012
Last updated
06/06/2022
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