Individual
MS. BONNIE JEANNE RABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C., LPC
Contact information
Practice address
1250 E BASELINE RD, SUITE 105, TEMPE, AZ 85283-1404
(480) 753-1655
Mailing address
230 W CAROLINE LN, TEMPE, AZ 85284-3021
(480) 839-6814
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-11856
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
896805
—
AZ
01
—
LPC-11856
LICENSE NUMBER
AZ
Enumeration date
02/02/2007
Last updated
07/09/2007
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