Individual
MRS. BONNIE JANE KOBLENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.H.C
Contact information
Practice address
12 W CHERRY ST, HICKSVILLE, NY 11801-3802
(516) 822-3131
Mailing address
20 HEMLOCK DR, ROSLYN, NY 11576-2303
(516) 822-3131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P04420
NY
Other
Enumeration date
08/18/2017
Last updated
07/21/2022
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