Provider Demographics
NPI:1306365978
Name:BONFEY, REBECCA SUE (LPCA)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:SUE
Last Name:BONFEY
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 HOMEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1247
Mailing Address - Country:US
Mailing Address - Phone:828-225-3100
Mailing Address - Fax:
Practice Address - Street 1:2 LAURA JACKSON RD
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:NC
Practice Address - Zip Code:28730-8700
Practice Address - Country:US
Practice Address - Phone:518-866-7323
Practice Address - Fax:828-505-4874
Is Sole Proprietor?:No
Enumeration Date:2017-09-15
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13013101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional