Individual
MADISON BONASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119
(304) 460-5123
Mailing address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119
(304) 460-5123
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2573
WV
101YP2500X
Professional Counselor
Primary
2573
WV
Other
Enumeration date
06/18/2020
Last updated
03/17/2025
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