Individual
BONI J PROBASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
220 E WALNUT ST, LANCASTER, OH 43130-4464
(740) 277-6043
Mailing address
220 E WALNUT ST, LANCASTER, OH 43130-4464
(740) 277-6043
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.0700425
OH
Other
Enumeration date
12/18/2017
Last updated
01/08/2024
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