Individual
MRS. BONNIE ELIZABETH TOKOPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISAC, MC
Contact information
Practice address
18001 N 79TH AVE STE C53, GLENDALE, AZ 85308-8394
(602) 527-8600
(602) 971-2494
Mailing address
1326 E HELENA DR, PHOENIX, AZ 85022-2077
(602) 527-8600
(602) 971-2494
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
11717
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11717
AZ
101YM0800X
Mental Health Counselor
11717
AZ
101YP2500X
Professional Counselor
11717
AZ
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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