DEIRDRE BONNER MS NPI 1447621628

NPI Information

NPI: 1447621628
Provider Name: DEIRDRE BONNER, MS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
6046 TRAVIATA AVE
LAS VEGAS, NV
ZIP 89141
Phone: (702) 381-2446
Get Directions

Deirdre Bonner, MS is a mental health counselor in Las Vegas, NV. Deirdre Bonner, MS NPI is 1447621628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6046 TRAVIATA AVE
LAS VEGAS, NV
ZIP 89141-477
Phone: (702) 381-2446

The enumeration date for this NPI number is 10/13/2015 and was last updated on 10/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	06722-LC	NEVADA	No
2	101YM0800X	Counselor	Mental Health	CP5140	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100544052	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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