Individual
HOLLY ANNE BONNARDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
11803 101ST AVE CT E, PUYALLUP, WA 98373
(253) 881-1428
Mailing address
4227 S MERIDIAN # C576, PUYALLUP, WA 98373-3603
(253) 881-1428
(253) 446-7137
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG61514392
WA
Other
Enumeration date
10/01/2024
Last updated
10/08/2024
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