| Doctor Name: | MS. BONNIE R PARISH |
| NPI Number: | 1003100207 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW-W/BCD |
| License Number: | E.0001482-SUPV |
| Business Practice Address: | 2211 Arbor Blvd Moraine, OH - 454391521 |
| Business Phone Number: | 9372229481 |
| Business Fax Number: | 9372223710 |
| Mailing Address: | 2211 Arbor Blvd, MORAINE |
| State: | OH |
| Postal Code: | 454391521 |
| Phone Number: | 9372229481 |
| Fax Number: | 9372223710 |
| NPI Enumeration Date: | 06/06/2011 |
| NPI Last Update Date: | 06/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | E.0001482-SUPV |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |