| Laura Bonneville, NCC | |
|
423 N 3rd Ave Ste 210, Sandpoint, ID 83864-1511 | |
| (208) 265-2221 | |
| Not Available |
| Full Name | Laura Bonneville |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 423 N 3rd Ave Ste 210, Sandpoint, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467936039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | LPC-7028 (Idaho) | Primary |
| Entity Name | Bonner General Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154563963 PECOS PAC ID: 4082690466 Enrollment ID: O20040626000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Bonneville, NCC 13114 N Westwood Dr, Hayden, ID 83835-7464 Ph: (208) 660-3261 | Laura Bonneville, NCC 423 N 3rd Ave Ste 210, Sandpoint, ID 83864-1511 Ph: (208) 265-2221 |
Erin Kathleen Gray, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Pine St Ste 2, Sandpoint, ID 83864 Phone: 208-263-7716 Fax: 208-263-7719 | |
Jason Munzke, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 513 N 4th Ave, Sandpoint, ID 83864 Phone: 208-255-6803 Fax: 208-263-0951 | |
Mary Mikell Zimmerman, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Airport Way, Bonner Business Center, Sandpoint, ID 83864 Phone: 208-597-3553 | |
Mrs. Catherine Perusse, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 Ontario St, Sandpoint, ID 83864 Phone: 208-265-6798 Fax: 208-263-8160 | |
Mrs. Julie Ann Brusaw, MA LCPC LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1035 Baldy Mountain Rd, Sandpoint, ID 83864 Phone: 208-255-9277 Fax: 208-255-1254 | |
Jarae Swanstrom, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1224 Washington Ave Ste 206, Sandpoint, ID 83864 Phone: 208-684-0512 | |
Mrs. Bambi Lassen, LMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 102 S Euclid Ave Ste 111, Sandpoint, ID 83864 Phone: 208-263-4477 Fax: 208-263-4478 |