Provider Demographics
NPI:1588816268
Name:BONDURANT, ANN BARRIER (LPC)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:BARRIER
Last Name:BONDURANT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:DR
Other - First Name:A.
Other - Middle Name:BARRIE
Other - Last Name:BONDURANT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1042 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:VA
Mailing Address - Zip Code:24301-5218
Mailing Address - Country:US
Mailing Address - Phone:540-440-3150
Mailing Address - Fax:540-994-5028
Practice Address - Street 1:1042 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:VA
Practice Address - Zip Code:24301-5218
Practice Address - Country:US
Practice Address - Phone:540-440-3150
Practice Address - Fax:540-994-5028
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004448101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health