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Individual
CORY J BONGIVENGO
Active
Individual
CORY J BONGIVENGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2506704-TRNE
OH
101YM0800X
Mental Health Counselor
Primary
C.2608328
OH
171M00000X
Case Manager/Care Coordinator
—
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
06/25/2026
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