Individual provider · Type 1 NPI
Debra Lynn Bonine, MA
Mental Health Counselor · Bradenton, FL
NPI number
1639230071
Active
Practice location
1205 14th Ave W
Bradenton, FL 34205-7246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | LPC 00359 (MN) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1639230071
Debra Lynn Bonine, MA's National Provider Identifier is 1639230071, issued on Dec 12, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bradenton, FL. The record was last updated on Sep 25, 2013.