Active NPIIndividual provider

Amber J Bonchuk

Counselor, Mental Health in Norwich, Connecticut

NPI Number1619248093
Practice location
55 Main St, Suite 270, Norwich, CT 06360-5760
Fax
860-885-6062
Last updated
March 1, 2013

Amber Jean Bonchuk is a Counselor, Mental Health based in Norwich, CT. Amber Jean Bonchuk practices in Norwich, CT. The NPI Number for Amber Jean Bonchuk is 1619248093. The current practice location address for Amber Jean Bonchuk is 55 Main St, Suite 270, Norwich, CT 06360-5760 and can be reached out via phone at 860-885-6054 and via fax at 860-885-6062.

Provider Profile Details

NPI Number
1619248093
Provider Name
Amber Jean Bonchuk
Provider Entity Type
Individual
Gender
Female
Address
55 Main St, Suite 270, Norwich, CT 06360-5760
Phone Number
860-885-6054
Fax Number
860-885-6062
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
January 18, 2012
Last Update Date
March 1, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Main St
Suite 270
Norwich, CT 06360-5760
Zip
06360-5760
Phone Number
860-885-6054
Fax Number
860-885-6062
Norwich, CT 06360Get directions →

Provider Business Mailing Address Details

Address
55 Main St
Suite 270
Norwich, CT 06360-5760
City
Norwich
State
CT
Zip
06360-5760
Phone Number
860-885-6054
Fax Number
860-885-6062

License Information

Taxonomy (1)
Developmental Therapist · 222Q00000X
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amber J Bonchuk?

The NPI number of Amber J Bonchuk is 1619248093. It was assigned on January 18, 2012 and is currently active in the NPPES registry.

What is the specialty of Amber J Bonchuk?

Amber J Bonchuk is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Amber J Bonchuk practice?

The practice location is 55 Main St, Suite 270, Norwich, CT 06360-5760. The office can be reached at 860-885-6054 (phone) or 860-885-6062 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619248093 directly on the NPPES registry website.

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