NICOLE RAASTAD BONHAM

JOHNSON CITY, TN
NPI1336572981
Former NameNICOLE L RAASTAD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: TN  3525)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2013-08-19
Last Update Date2015-10-23
Business Address
-- NICOLE RAASTAD BONHAM MA
109 W WATAUGA AVE
JOHNSON CITY, TN 37604-5621
Phone number: 423-232-2600
Mailing Address
-- NICOLE RAASTAD BONHAM MA
1167 SPRATLIN PARK DR PO BOX 9054
GRAY, TN 37615-6205
Phone number: 423-467-3600