Individual ProviderMary Faith BonneyCounselorBehavioral Health & Social Service ProvidersPractice Address5601 NE St Johns Rd, Vancouver, WA 98661-2055(360) 513-1404(360) 993-2372PECOS EnrollmentBased on the most recent information from CMS, provider Mary Faith Bonney does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:04 AM.Profile DetailsProvider ID1609988096Provider TypeIndividualFull NameBonney, Mary FaithTitleMs.CredentialLMHC, ATR-BCGenderFemaleSole ProprietorYesEnumeration Date8/31/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address5601 NE St Johns Rd, Vancouver, WA 98661-2055Phone(360) 513-1404FaxUnlisted FaxMailing LocationMailing Address4110 E 15th St, Vancouver, WA 98661-6202Phone(360) 993-2372FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH00004078Washington