Individual
MRS. PEGGY ANN BONACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, LCSW
Contact information
Practice address
8031 W CENTER RD STE 324, OMAHA, NE 68124-3149
(531) 800-7117
Mailing address
1626 S 98TH ST, OMAHA, NE 68124-1148
(402) 507-7816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2147
NE
1041C0700X
Clinical Social Worker
Primary
975
NE
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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