Individual
LAUREN BONGIORNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11 ROBINSON ST, POTTSTOWN, PA 19464-6421
(484) 941-0500
Mailing address
11 ROBINSON ST, POTTSTOWN, PA 19464-6421
(484) 941-0500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PC007473
PA
101YM0800X
Mental Health Counselor
PC007473
PA
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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