Provider Demographics
NPI:1366517492
Name:BONDS, KATHY WILLCUTT (LPC)
Entity type:Individual
Prefix:MS
First Name:KATHY
Middle Name:WILLCUTT
Last Name:BONDS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:KATHY
Other - Middle Name:WILLCUTT
Other - Last Name:MCKNIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:514 BRIDLEBROOK CT
Mailing Address - Street 2:
Mailing Address - City:PIKE ROAD
Mailing Address - State:AL
Mailing Address - Zip Code:36064-2784
Mailing Address - Country:US
Mailing Address - Phone:334-467-7989
Mailing Address - Fax:
Practice Address - Street 1:514 BRIDLEBROOK CT
Practice Address - Street 2:
Practice Address - City:PIKE ROAD
Practice Address - State:AL
Practice Address - Zip Code:36064-2784
Practice Address - Country:US
Practice Address - Phone:334-467-7989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1665101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor