Individual
KAITLIN BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1495 REMOUNT RD # 3E, NORTH CHARLESTON, SC 29406-3320
(843) 790-3166
Mailing address
130 RIVER LANDING DR UNIT 8301, DANIEL ISLAND, SC 29492-7420
(720) 397-9772
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8277
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NONE
—
Enumeration date
03/03/2015
Last updated
06/19/2025
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