Doctor Name: | MS. LEIGH C BONNEY |
NPI Number: | 1528337946 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CASAC-T, BA, MS |
License Number: | |
Business Practice Address: | 8 S Chenango St Greene, NY - 137781213 |
Business Phone Number: | 6075950827 |
Business Fax Number: | |
Mailing Address: | 8 S Chenango St, GREENE |
State: | NY |
Postal Code: | 137781213 |
Phone Number: | 6075950827 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2011 |
NPI Last Update Date: | 12/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |