Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Raastad Bonham, MA

Individual provider Professional Counselor · NPI 1336572981

Nicole Raastad Bonham, MA is a Professional Counselor in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2013.

Licensed in
TN
In the registry since
2013
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

109 W Watauga Ave
Johnson City, TN 37604-5621
Phone: (423) 232-2600
Fax: (423) 467-3644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3525 (TN)
Counselor Taxonomy 101Y00000X

Record details

NPI number1336572981
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedAugust 19, 2013
Last updated in NPPESOctober 23, 2015

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