MRS. Bonita Gray Kolb, L.P.C.

NPI #1043461718 in Sandy, Utah

Provider Information

NPI Number: 1043461718
Entity Type: Individual
Name: MRS. Bonita Gray Kolb, L.P.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: L.P.C.
Enumeration Date: Sep 30, 2008
Last Updated: Sep 30, 2008

Practice Location

Address: 8160 HIGHLAND DR
Address 2: BUILDING A
City: Sandy
State: Utah
ZIP Code: 84093-6492
Phone: (801) 831-4339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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