Female

Ms. Ebony N. Bonner LMHC

Mental Health Counselor in Tampa, FL(View on Map)

Full Name

Ms. Ebony Nicole Bonner LMHC

NPI Number

1245494459

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/16/2008

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Florida
Florida

License Number

MH9497
9497

Contact
Information

Purpose

Mailing
Location

Address

4310 METRO PKWY STE 205
16578 N DALE MABRY HWY

City

Fort Myers
Tampa

State

FL
FL

Postal Code

33916-9416
33618-1325

Country

US
US

Telephone Number

(239) 236-8784
(813) 412-5504

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/30/2023

Provider Address

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