person
Fabienne Bonaventure, COTA
Professional Counselor in Bowie, Maryland
NPI 1538652227

Fabienne Bonaventure is a Professional Counselor based in Bowie, MD and is specialized in Professional. Fabienne Bonaventure practices in Bowie, MD and has the professional credentials of COTA. The NPI Number for Fabienne Bonaventure is 1538652227 and holds a License No. OTA100000305 (Maryland).

The current practice location address for Fabienne Bonaventure is 13014 5Th St, Bowie, MD and can be reached out via phone at 301-543-0960.

Location: 13014 5Th St, Bowie, MD, 20720-3661
person
Provider Profile Details
NPI Number
1538652227
Provider Name
Fabienne Bonaventure
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
13014 5Th St, Bowie, MD, 20720-3661
Phone Number
301-543-0960
Fax Number
Provider Enumeration Date
06/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OTA100000305 01 N/A
institution
Provider Business Practice Location Address Details
Address
13014 5Th St
City
State
Zip
20720
Phone Number
301-543-0960
Fax Number
person
Provider Business Mailing Address Details
Address
13014 5Th St
City
State
Zip
20720
Phone Number
301-543-0960
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
OTA100000305 (District of Columbia)
Definition
Definition to come...
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