Individual
MS. PATRICIA BONENFANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LADC, LPC
Contact information
Practice address
23 REICHERT CIR, WESTPORT, CT 06880-2642
(203) 981-0770
Mailing address
23 REICHERT CIR, WESTPORT, CT 06880-2642
(203) 981-0770
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000038
CT
101YP2500X
Professional Counselor
Primary
001290
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00060
ANTHEM
CT
05
—
004227425
—
CT
01
—
06111
OXFORD
AR
01
—
22771
MHN
KY
01
—
25133
COVENTRY HEALTH AMERICAN
KY
01
—
349975000
MAGELLAN
—
01
—
38520
TRICARE
SC
01
—
39026
UMR
—
01
—
60054
AETNA
TX
01
—
87726
CONNECTICARE
UT
01
—
87726
UNITED HEALTHCARE
—
01
—
A935017
BEACON HEALTHCARE OPTIONS
—
01
—
CIGNABH
CIGNA
TN
01
—
N7V502
EMPIRE
—
Enumeration date
08/05/2006
Last updated
03/26/2018
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