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General NPI Number Information
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NPI Number | 1760871891
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Entity Type | Individual
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Provider Name | YOLANDA ANNETTE BONNER LPC
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Gender | Female
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Dates
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Enumeration Date | 01/13/2015
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 503 E LOYOLA DR
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City | KENNER
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State | LA
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Zip | 70065-4119
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Country | US
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Telephone | 504-220-8442
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2353
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City | KENNER
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State | LA
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Zip | 70063-2353
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Country | US
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Telephone | 504-220-8442
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4469
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4469
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License Number State | LA
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