MS. MARY ELISABETH BONNESON MS LPC NCC NPI 1740384882

NPI Information

NPI: 1740384882
Provider Name: MS. MARY ELISABETH BONNESON, MS LPC NCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2500 N MAYFAIR RD
SUITE # 560
WAUWATOSA, WI
ZIP 53226
Phone: (414) 771-5002
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MS. Mary Elisabeth Bonneson, MS LPC NCC is a mental health counselor in Wauwatosa, WI. MS. Mary Elisabeth Bonneson, MS LPC NCC NPI is 1740384882. 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:

2500 N MAYFAIR RD
SUITE # 560
WAUWATOSA, WI
ZIP 53226
Phone: (414) 771-5002
Fax: (414) 771-2928

The enumeration date for this NPI number is 9/11/2006 and was last updated on 7/8/2007.

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	2639125	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	167018	OTHER		MANAGED HEALTH NETWORK
2	11570477	OTHER		CA QH PROVIDER ID

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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