What is Michelle Bonner's NPI number?

The NPI number assigned to this healthcare provider is 1720444078, enumerated as a individual on December 31, 2015.

Where is the provider located?

The provider is located at 1601 2ND ST SAN RAFAEL, CA 94901 and the phone number is (415) 459-2395.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

MRS. MICHELLE DENISE BONNER - NPI 1720444078 - Counselor in San Rafael, CA

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About Mrs. Michelle Denise Bonner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MICHELLE DENISE BONNER (NPI 1720444078) is an individual counselor in San Rafael, California and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1720444078

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. MICHELLE DENISE BONNER

Location Address1601 2ND STSan Rafael, CA 94901-2712

Mailing Address1601 2nd StSan Rafael, CA 94901-2712 · (415) 459-2395

Phone(415) 459-2395

Sole ProprietorNo

Enumeration DateDecember 31, 2015

✔ NPI 1720444078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

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.

1601 2ND ST, San Rafael, CA 94901

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