Henry, Bonnie M

Henry, Bonnie M is an sole proprietor health care provider with primary practice located at 602 S Wedgewood Ln , Carbondale IL 62901-2119. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Henry, Bonnie M can be contacted via phone (618) 303-1654.

Contact Information

Primary practice address
602 S Wedgewood Ln Carbondale IL 62901-2119
Phone: (618) 303-1654
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 101Y00000X Illinois
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1124299706
LBN Legal business name Henry, Bonnie M
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2008
Last updated Jan 31st, 2012 - about 14 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.

Request for update

Popular Providers