Blake, Bonnie Jean

Blake, Bonnie Jean is an individual health care provider with primary practice located at 221 Avenue B , Snohomish WA 98290-2840. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Blake, Bonnie Jean can be contacted via phone (425) 349-7259.

Contact Information

Primary practice address
221 Avenue B Snohomish WA 98290-2840
Phone: (425) 349-7259
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00003648 Washington

Profile Details

NPI number 1881639771
LBN Legal business name Blake, Bonnie Jean
Credentials MA LMHC ,MHP, GMHS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jul 8th, 2007 - about 19 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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