Individual
MR. MATTHEW PAUL BOHONOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
117 E CENTER ST, MANCHESTER, CT 06040-5246
(860) 890-8689
Mailing address
22 WINDERMERE AVE, 2ND FLOOR, VERNON, CT 06066-2426
(860) 890-8689
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002174
CT
Other
Enumeration date
02/04/2008
Last updated
05/08/2012
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