Bonnie L Estes, LPC

Individual provider Active NPI Professional Counselor · Henderson, TX

NPI 1124119581 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124119581
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
9341 (TX)
Practice address
116 N Marshall St
Henderson, TX 75652
Phone
(903) 655-8569
Fax
(903) 655-8569
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9341TXMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9341 TX Yes

Addresses

Primary practice location

116 N Marshall St
Henderson, TX 75652

Mailing address

1100 Stone Road
Suite 102
Kilgore, TX 75662
Phone (903) 986-9114

Other identifiers

IdentifierTypeStateIssuer
83163LOtherTXBLUE CROSS BLUE SHIELD
127235OtherTXCITIP

Other names

  • Mrs. Bonnie McEver Estes Professional name

Other providers in Henderson, TX

All providers in Henderson, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.