Provider Demographics
NPI:1821219726
Name:MORRISON, BONNIE JO (MFTI)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:JO
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38680 ADCOCK DR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-4330
Mailing Address - Country:US
Mailing Address - Phone:415-476-4980
Mailing Address - Fax:
Practice Address - Street 1:3333 CALIFORNIA ST
Practice Address - Street 2:SUITE 10
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-476-4980
Practice Address - Fax:415-476-7113
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53370106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist