Bonnie Given Coleman, LMFT

Individual provider Active NPI Marriage & Family Therapist · Carmel, CA

NPI 1245745397 · NPPES record last updated Oct 13, 2021

Key facts

NPI
1245745397
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
124100 (CA)
Practice address
200 Clock Tower PL Ste E208
Carmel, CA 93923-8790
Phone
(831) 277-4862
NPI assigned
Dec 12, 2017
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

State licenses

LicenseStateTypeSpecialty
104290CAMDMarriage & Family Therapist
124100CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 104290 CA
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 124100 CA Yes

Addresses

Primary practice location

200 Clock Tower PL Ste E208
Carmel, CA 93923-8790

Mailing address

200 Clock Tower PL Ste E208
Carmel, CA 93923-8790
Phone (831) 277-4862

Other providers in Carmel, CA

All providers in Carmel, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.