person
Miss Joanna Rose Bonura, CASAC-T
Addiction (Substance Use Disorder) Counselor in Mastic, New York
NPI 1528624665

Joanna Rose Bonura is an Addiction (Substance Use Disorder) Counselor based in Mastic, NY and is specialized in Addiction (Substance Use Disorder). Joanna Rose Bonura practices in Mastic, NY and has the professional credentials of CASAC-T. The NPI Number for Joanna Rose Bonura is 1528624665 and holds a License No. 35008 (New York).

The current practice location address for Joanna Rose Bonura is 1235 Montauk Hwy, Mastic, NY and can be reached out via phone at 631-772-3214.

Location: 1235 Montauk Hwy, Mastic, NY, 11950-2917
person
Provider Profile Details
NPI Number
1528624665
Provider Name
Joanna Rose Bonura
Credential
CASAC-T
Provider Entity Type
Individual
Gender
Female
Address
1235 Montauk Hwy, Mastic, NY, 11950-2917
Phone Number
631-772-3214
Fax Number
Provider Enumeration Date
05/14/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35008 01 NY OASAS
institution
Provider Business Practice Location Address Details
Address
1235 Montauk Hwy
City
State
Zip
11950-2917
Phone Number
631-772-3214
Fax Number
person
Provider Business Mailing Address Details
Address
1235 Montauk Hwy
City
State
Zip
11950-2917
Phone Number
631-772-3214
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
35008 (New York)
Definition
Definition to come...
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