Provider Demographics
NPI:1689776338
Name:EKHARDT, BONITA NEVILLE (MFT & LEP)
Entity Type:Individual
Prefix:MRS
First Name:BONITA
Middle Name:NEVILLE
Last Name:EKHARDT
Suffix:
Gender:F
Credentials:MFT & LEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 H ST STE 1
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5134
Mailing Address - Country:US
Mailing Address - Phone:661-327-5535
Mailing Address - Fax:661-327-4099
Practice Address - Street 1:1326 H ST STE 1
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5134
Practice Address - Country:US
Practice Address - Phone:661-327-5535
Practice Address - Fax:661-327-4099
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 23448101YM0800X
CALEP 1733103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist