Provider Demographics
NPI:1316617301
Name:BONS, KATEE E
Entity type:Individual
Prefix:
First Name:KATEE
Middle Name:E
Last Name:BONS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 EASTFIELD DR
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-6781
Mailing Address - Country:US
Mailing Address - Phone:520-661-9096
Mailing Address - Fax:
Practice Address - Street 1:753 S MAIN ST
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-3238
Practice Address - Country:US
Practice Address - Phone:910-490-2037
Practice Address - Fax:910-479-1711
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20528104100000X
106S00000X
NCP0185881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician