Provider Demographics
NPI:1033658992
Name:BON, EMILY E (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:E
Last Name:BON
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 W PARK AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:BARBERTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-2587
Mailing Address - Country:US
Mailing Address - Phone:330-753-1096
Mailing Address - Fax:330-753-1278
Practice Address - Street 1:524 W PARK AVE STE 1
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-2587
Practice Address - Country:US
Practice Address - Phone:330-753-1096
Practice Address - Fax:330-753-1278
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1500828101YM0800X
OH1500828101YM0800X
OHE.1901033101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health