Individual
ALEX BONICELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-CANDIDATE
Contact information
Practice address
525 LIBERTY LN, EDMOND, OK 73034-9046
(405) 726-8966
Mailing address
525 LIBERTY LN, EDMOND, OK 73034-9046
(405) 726-8966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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