Individual
MAGDALENA JANINA BONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
220 NORTHWOOD DR, GUILFORD, CT 06437-1154
(910) 330-3033
Mailing address
220 NORTHWOOD DR, GUILFORD, CT 06437-1154
(910) 330-3033
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
9346
CT
101YM0800X
Mental Health Counselor
Primary
9346
CT
103T00000X
Psychologist
Primary
4355
NC
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4355
NC
103TB0200X
Cognitive & Behavioral Psychologist
4355
NC
103TC0700X
Clinical Psychologist
4355
NC
103TH0100X
Health Service Psychologist
4355
NC
103TP2701X
Group Psychotherapy Psychologist
4355
NC
Other
Enumeration date
10/23/2012
Last updated
05/08/2026
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