Individual provider · Type 1 NPI
Dominique Bonner, LPC
Counselor · Portsmouth, VA
NPI number
1558083428
Active
Practice location
604 1/2 High St Ste 100
Portsmouth, VA 23704-3437
Mailing address
317 Declaration Ln
Suffolk, VA 23434-2370
Other practice locations
- 317 Declaration Ln, Suffolk, VA 23434-2370 · (757) 724-5254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 0701011657 (VA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1558083428
Dominique Bonner, LPC's National Provider Identifier is 1558083428, issued on Sep 16, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portsmouth, VA. The record was last updated on Sep 9, 2024.