Individual
ASHLEY NICOLE BONOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
2124 CROWN CENTRE DR. SUITE 400, CHARLOTTE, NC 28227
(704) 849-0144
Mailing address
2124 CROWN CENTRE DR. SUITE 400, CHARLOTTE, NC 28227
(704) 849-0144
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A16290
NC
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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