Amy Bonin, M.S. - TLMHC

Individual provider Active NPI Mental Health Counselor · Marshalltown, IA

NPI 1013394543 · NPPES record last updated Mar 30, 2016

Key facts

NPI
1013394543
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
077911 (IA)
Practice address
9 N 4TH Ave
Marshalltown, IA 50158-1836
Phone
(641) 752-5421
Fax
(641) 752-7211
NPI assigned
May 5, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
077911IAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 077911 IA Yes

Addresses

Primary practice location

9 N 4TH Ave
Marshalltown, IA 50158-1836

Mailing address

PO Box 1453
Marshalltown, IA 50158-1453
Phone (641) 752-5421

Other providers in Marshalltown, IA

All providers in Marshalltown, IA · Mental Health Counselor in Iowa

Sources for this page

Verify at the official NPI Registry.