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Mr. Nathaniel Bonovitz, LCPC
Mental Health Counselor in Eagle, Idaho
NPI 1154586550

Nathaniel Bonovitz is a Mental Health Counselor based in Boise, ID and is specialized in Mental Health. Nathaniel Bonovitz practices in Eagle, ID and has the professional credentials of LCPC. The NPI Number for Nathaniel Bonovitz is 1154586550 and holds a License No. 4869 (Idaho).

The current practice location address for Nathaniel Bonovitz is 1151 E Iron Eagle Dr, Eagle, ID and can be reached out via phone at 484-557-5672. You can also correspond with Nathaniel Bonovitz through the mailing address at 3631 OVERLAND RD, BOISE, ID - 83705-6033 (mailing address contact number: 208-343-0441).

Location: 1151 E Iron Eagle Dr, Eagle, ID, 83705-6033
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Provider Profile Details
NPI Number
1154586550
Provider Name
Nathaniel Bonovitz
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
1151 E Iron Eagle Dr, Eagle, ID, 83705-6033
Phone Number
484-557-5672
Fax Number
Provider Enumeration Date
07/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPC #3820 01 ID LPC NUMBER
institution
Provider Business Practice Location Address Details
Address
1151 E Iron Eagle Dr
City
State
Zip
83616-6854
Phone Number
484-557-5672
Fax Number
person
Provider Business Mailing Address Details
Address
1151 E Iron Eagle Dr
City
State
Zip
83616-6854
Phone Number
484-557-5672
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4869 (Idaho)
Definition
Definition to come...
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