Bonner, Jeralyn Wood

Bonner, Jeralyn Wood is an sole proprietor health care provider with primary practice located at 2801 Buford Hwy Ne Suite 508, Atlanta GA 30329-2149. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bonner, Jeralyn Wood can be contacted via phone (404) 636-1108.

Contact Information

Primary practice address
2801 Buford Hwy Ne Suite 508 Atlanta GA 30329-2149
Phone: (404) 636-1108
Fax: (404) 636-9482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 585 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 197 Georgia

Profile Details

NPI number 1780756643
LBN Legal business name Bonner, Jeralyn Wood
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 15 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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