Individual
MS. STEPHANIE ELYSE BONARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
189 STORRS RD, MANSFIELD, CT 06250
(860) 886-4850
Mailing address
41 SOUTH MAIN STREET, #37, GRISWOLD, CT 06351
(860) 886-4850
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001876
CT
Other
Enumeration date
01/15/2010
Last updated
02/04/2010
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