MS. Thea Kaitlynne Bohannon, MS, LMHC

NPI #1174907828 in Carthage, New York

Provider Information

NPI Number: 1174907828
Entity Type: Individual
Name: MS. Thea Kaitlynne Bohannon, MS, LMHC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MS, LMHC
Enumeration Date: Jul 13, 2015
Last Updated: May 4, 2021

Practice Location

Address: 3 BRIDGE ST
City: Carthage
State: New York
ZIP Code: 13619-1360
Phone: (315) 493-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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