Individual
JACQUELINE BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
66 MAPLE AVE, MORRISTOWN, NJ 07960-5250
(973) 538-6353
Mailing address
66 MAPLE AVE, MORRISTOWN, NJ 07960-5250
(973) 538-6353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00047300
NJ
101YP2500X
Professional Counselor
37PC00076300
NJ
Other
Enumeration date
07/17/2006
Last updated
09/11/2025
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