-- BLAINE ALAN BONNETT -- MSW
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1134584105- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MSW
- Status
- Active
Contact & Location
- Address
- 5903 STOCKWOOD ST, BOSSIER CITY, LA, 711115607
- Phone
- (318) 510-7034
Specialties & Taxonomies
Counselor, Mental Health
Primary License: LA #5858