KRISTINA BONANCA LPC NPI 1104350610

NPI Information

NPI: 1104350610
Provider Name: KRISTINA BONANCA, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
1500 DUNES ST
APT 304
FREDERICKSBURG, VA
ZIP 22401
Phone: (540) 907-9087
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Kristina Bonanca, LPC is a mental health counselor in Fredericksburg, VA. Kristina Bonanca, LPC NPI is 1104350610. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 DUNES ST
APT 304
FREDERICKSBURG, VA
ZIP 22401-018
Phone: (540) 907-9087

The NPI 1104350610 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/12/2017 and was last updated on 4/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	0701006929	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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