Individual provider · Type 1 NPI

Bonita Marie Jackson-Vergara, LICENSED COUNSELOR

Professional Counselor · Chesapeake, VA

NPI number 1316967334 Active

Practice location

1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218

Call (704) 804-9614 Map

Mailing address

800 Fox Ridge Trl
Chesapeake, VA 23322-6506

Other practice locations

  • 11714 Spring Laurel Dr, Charlotte, NC 28215-4651 · (704) 804-9614
  • 209 Research Dr, Chesapeake, VA 23320-5995 · (513) 834-7063

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0718000386 (VA)
Professional Counselor 101YP2500X0701005902 (VA)
Professional Counselor Primary 101YP2500X4804 (NC)

Professional Counselor: Definition to come...

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About NPI 1316967334

Bonita Marie Jackson-Vergara, LICENSED COUNSELOR's National Provider Identifier is 1316967334, issued on Jul 20, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chesapeake, VA. The record was last updated on Oct 13, 2021.