Avery, Bonita Joy

Avery, Bonita Joy is an individual health care provider with primary practice located at 1740 E 17Th St , Idaho Falls ID 83404-6375. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Avery, Bonita Joy can be contacted via phone (208) 346-8866.

Contact Information

Primary practice address
1740 E 17Th St Idaho Falls ID 83404-6375
Phone: (208) 346-8866
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC-5709 Idaho

Profile Details

NPI number 1780941278
LBN Legal business name Avery, Bonita Joy
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2012
Last updated Feb 14th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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