Provider Demographics
NPI:1073088043
Name:BONSER, RACHEL (MS, NCC, LBS, LPC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:BONSER
Suffix:
Gender:F
Credentials:MS, NCC, LBS, LPC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:BOWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, NCC
Mailing Address - Street 1:25 HICKORY DR
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:17345-9505
Mailing Address - Country:US
Mailing Address - Phone:814-330-8952
Mailing Address - Fax:
Practice Address - Street 1:1681 CROWN AVE STE 10
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6303
Practice Address - Country:US
Practice Address - Phone:717-208-6686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-05
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010344101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional