Provider Demographics
NPI:1568678035
Name:ONEONTA-BECRAFT, BONITA CLARICE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:BONITA
Middle Name:CLARICE
Last Name:ONEONTA-BECRAFT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:BONITA
Other - Middle Name:
Other - Last Name:LONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:1431 SE CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:99324-1716
Mailing Address - Country:US
Mailing Address - Phone:509-956-6163
Mailing Address - Fax:509-529-1725
Practice Address - Street 1:1431 SE CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:COLLEGE PLACE
Practice Address - State:WA
Practice Address - Zip Code:99324-1716
Practice Address - Country:US
Practice Address - Phone:509-956-6163
Practice Address - Fax:509-529-1725
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00002168106H00000X
ORT0426106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist