Provider Demographics
NPI:1609328863
Name:BONNER, BRITTNEY (MA)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:BONNER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8425 ALTA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-5422
Mailing Address - Country:US
Mailing Address - Phone:720-385-9279
Mailing Address - Fax:
Practice Address - Street 1:2095 W 6TH AVE STE 212
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1881
Practice Address - Country:US
Practice Address - Phone:720-295-3183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health