NPI 1609930304 · live from the CMS NPI Registry
Scott Bonk, LMFT
Marriage & Family Therapist in Cartersville, GA. National Provider Identifier 1609930304, active.
NPI record
| NPI | 1609930304 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 30 Carrington Dr, Cartersville, GA 30120 |
| Practice phone | 678-227-0252 |
| Enumerated | December 20, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MFT001022 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.