Individual provider · Type 1 NPI

Beyounka Bonner

Mental Health Counselor · Salem, OR

NPI number 1033965710 Active

Practice location

2355 State St Ste 101
Salem, OR 97301-4541

Mailing address

710 Nightwind Way
Stockbridge, GA 30281-9134

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1033965710

Beyounka Bonner's National Provider Identifier is 1033965710, issued on Apr 24, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Apr 24, 2024.