Provider Demographics
NPI:1912707308
Name:BARNES, BONITA (LPC)
Entity type:Individual
Prefix:
First Name:BONITA
Middle Name:
Last Name:BARNES
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 W SAGUARO BLUFFS DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-4431
Mailing Address - Country:US
Mailing Address - Phone:520-977-5446
Mailing Address - Fax:
Practice Address - Street 1:2525 W SAGUARO BLUFFS DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85742-4431
Practice Address - Country:US
Practice Address - Phone:520-977-5446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional