Individual
KRISTINA BONANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1500 DUNES ST, APT 304, FREDERICKSBURG, VA 22401-5018
(540) 907-9087
Mailing address
1500 DUNES ST, APT 304, FREDERICKSBURG, VA 22401-5018
(540) 907-9087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006929
VA
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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