Individual
BONNY FRESCURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
75 DURBIN STATION CT STE 303, SAINT JOHNS, FL 32259-9368
(908) 509-1248
Mailing address
841 TRELLIS BAY DR, SAINT AUGUSTINE, FL 32092-3231
(908) 509-1248
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
37FA00007200
NJ
106H00000X
Marriage & Family Therapist
Primary
MT5288
FL
Other
Enumeration date
03/20/2020
Last updated
05/15/2026
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