Individual
NICOLE BONIFAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
20275 HONEYSUCKLE DR, STE 103, ELKHORN, NE 68022-3962
(402) 933-5700
(402) 933-9998
Mailing address
20275 HONEYSUCKLE DR, STE 103, ELKHORN, NE 68022-3962
(402) 933-5700
(402) 933-9998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10750
NE
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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