Individual
MS. DOMINIQUE ELYSE BONAMASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELING TRAINEE
Contact information
Practice address
833 BOARDMAN CANFIELD RD STE 105, BOARDMAN, OH 44512-4236
(330) 953-1964
(877) 253-7181
Mailing address
833 BOARDMAN CANFIELD RD STE 105, BOARDMAN, OH 44512-4236
(330) 953-1964
(877) 253-7181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1500126-TRNE
OH
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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