Rabe, Bonnie Jeanne

Rabe, Bonnie Jeanne is an sole proprietor health care provider with primary practice located at 1250 E Baseline Rd Suite 105, Tempe AZ 85283-1404. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Rabe, Bonnie Jeanne can be contacted via phone (480) 753-1655.

Contact Information

Primary practice address
1250 E Baseline Rd Suite 105 Tempe AZ 85283-1404
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-11856 Arizona

Profile Details

NPI number 1922146083
LBN Legal business name Rabe, Bonnie Jeanne
Credentials M.C., LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922146083 NPPES
Arizona Other LPC-11856 LICENSE NUMBER
Arizona MEDICAID 896805 LICENSE NUMBER

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