Individual
BONNIE WISNEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
48 LAKESHORE DR, AVERILL PARK, NY 12018-3724
(518) 880-8280
Mailing address
48 LAKESHORE DR, AVERILL PARK, NY 12018-3724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
013252
NY
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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