Provider Demographics
NPI:1194902486
Name:BONNER, MARCI DANIELLE (MED, LMHC, MHC)
Entity type:Individual
Prefix:MS
First Name:MARCI
Middle Name:DANIELLE
Last Name:BONNER
Suffix:
Gender:F
Credentials:MED, LMHC, MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 SOUTH ST W STE 4F
Mailing Address - Street 2:
Mailing Address - City:RAYNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02767-5171
Mailing Address - Country:US
Mailing Address - Phone:401-484-0218
Mailing Address - Fax:
Practice Address - Street 1:819 COUNTY ST APT 67C
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3766
Practice Address - Country:US
Practice Address - Phone:401-484-0218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10632101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health