person
Ms. Mary Elisabeth Bonneson, MSLPCNCC
Mental Health Counselor in Wauwatosa, Wisconsin
NPI 1740384882

Mary Elisabeth Bonneson is a Mental Health Counselor based in Wauwatosa, WI and is specialized in Mental Health. Mary Elisabeth Bonneson practices in Wauwatosa, WI and has the professional credentials of MSLPCNCC. The NPI Number for Mary Elisabeth Bonneson is 1740384882 and holds a License No. 2639125 (Wisconsin).

The current practice location address for Mary Elisabeth Bonneson is 2500 N Mayfair Rd, Wauwatosa, WI and can be reached out via phone at 414-771-5002 and via fax at 414-771-2928. You can also correspond with Mary Elisabeth Bonneson through the mailing address at 2500 N MAYFAIR RD, WAUWATOSA, WI - 53226 (mailing address contact number: 414-771-5002).

Location: 2500 N Mayfair Rd, Wauwatosa, WI, 53226
person
Provider Profile Details
NPI Number
1740384882
Provider Name
Mary Elisabeth Bonneson
Credential
MSLPCNCC
Provider Entity Type
Individual
Gender
Female
Address
2500 N Mayfair Rd, Wauwatosa, WI, 53226
Phone Number
414-771-5002
Fax Number
414-771-2928
Provider Enumeration Date
09/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11570477 01 CA QH PROVIDER ID
167018 01 MANAGED HEALTH NETWORK
institution
Provider Business Practice Location Address Details
Address
2500 N Mayfair Rd
City
State
Zip
53226
Phone Number
414-771-5002
Fax Number
414-771-2928
person
Provider Business Mailing Address Details
Address
2500 N Mayfair Rd
City
State
Zip
53226
Phone Number
414-771-5002
Fax Number
414-771-2928
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2639125 (Wisconsin)
Definition
Definition to come...
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