Bonnie Kay Ellingboe, MA LP Valid NPI

Individual provider · Counseling Psychologist · Rogers, MN

NPI

1215015789

Type

Individual (Type 1)

Primary specialty

Counseling Psychologist (Psychologist)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103TC1900X

License number

MN3177 (MN)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-11-01

Last updated

2018-05-17