Individual
CHRISTINA ROSE BONACORSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
26545 AMERICAN DR, SOUTHFIELD, MI 48034-6115
(800) 395-3223
Mailing address
26545 AMERICAN DR, SOUTHFIELD, MI 48034-6115
(800) 395-3223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
640102524
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750910402
BLUE CROSS
MI
Enumeration date
07/08/2011
Last updated
07/15/2025
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