Dr. Donald Lewis Bohannon, LPC
Counselor, Mental Health in Fredericksburg, VA. Individual provider (NPI-1).
NPI number1497274534
StatusActive
Last updated in NPPESSep 9, 2017
Details
- NPI
- 1497274534
- Entity type
- Individual (NPI-1)
- Name
- Dr. Donald Lewis Bohannon
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2017
- Last updated
- Sep 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 0701007233 | VA | Yes |
Practice location
10712 Ballantraye DrFredericksburg, VA 22407-4702
Phone 928-628-8517 · Fax 928-502-1926
Mailing address
47 Basalt DrFredericksburg, VA 22406-7229
Phone 928-502-1926
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