Tarrah Bonner
Counselor, Mental Health in Olympia, WA. Individual provider (NPI-1).
NPI number1982149084
StatusActive
Last updated in NPPESFeb 2, 2022
Details
- NPI
- 1982149084
- Entity type
- Individual (NPI-1)
- Name
- Tarrah Bonner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 27, 2016
- Certification date
- Feb 2, 2022
- Last updated
- Feb 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 61123225 | WA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
1822 Jonquil Ln NwOlympia, WA 98502-8331
Phone 601-810-8760
Mailing address
1822 Jonquil Ln NwOlympia, WA 98502-8331
Phone 601-810-8760
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