Individual provider · Type 1 NPI
Bonnie Rose Theis, MS, LPCC
Professional Counselor · Osseo, MN
NPI number
1376144188
Active
Practice location
24 3rd Ave NE, Unit B
Osseo, MN 55369
Fax (651) 925-0257
Mailing address
303 21st St Ste 232
Newport, MN 55055-1182
Other practice locations
- 4240 Park Glen Rd, St. Louis Park, MN 55416-5427 · (612) 925-6033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2630 (MN) |
Professional Counselor: Definition to come...
About NPI 1376144188
Bonnie Rose Theis, MS, LPCC's National Provider Identifier is 1376144188, issued on Nov 6, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Osseo, MN. The record was last updated on Nov 6, 2020.