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Organization

LISA BONAVISO MENTAL HEALTH COUNSELING PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA BONAVISO (OWNER)
(914) 471-5516
Entity
Organization

Contact information

Practice address
12 FAWN LN, ARMONK, NY 10504-1126
(914) 292-9207
Mailing address
15 STEWART PL APT 1S, WHITE PLAINS, NY 10603-3810
(914) 292-9207

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/23/2022
Last updated
08/23/2022
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