Mrs. Mallory Bonarrigo, LPC, ATR-BC, MS
Counselor, Professional in Fairfield, Connecticut
1770059131- Practice location
- 168 Chatham RD, Fairfield, CT 06825-1402
- Phone
- 608-669-0421
- Fax
- —
- Last updated
- March 31, 2021
Mallory Bonarrigo is a Counselor, Professional based in Fairfield, CT. Mallory Bonarrigo practices in Fairfield, CT and has the professional credentials of LPC, ATR-BC, MS. The NPI Number for Mallory Bonarrigo is 1770059131 and holds a License No. 3579 (CT). The current practice location address for Mallory Bonarrigo is 168 Chatham RD, Fairfield, CT 06825-1402 and can be reached out via phone at 608-669-0421.
Provider Profile Details
- NPI Number
- 1770059131
- Provider Name
- Mallory Bonarrigo
- Credential
- LPC, ATR-BC, MS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 168 Chatham RD, Fairfield, CT 06825-1402
- Phone Number
- 608-669-0421
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 23, 2018
- Last Update Date
- March 31, 2021
- Certification Date
- March 31, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 168 Chatham RD
Fairfield, CT 06825-1402 - City
- Fairfield
- State
- Connecticut
- Zip
- 06825-1402
- Phone Number
- 608-669-0421
Provider Business Mailing Address Details
- Address
- 168 Chatham RD
Fairfield, CT 06825-1402 - City
- Fairfield
- State
- CT
- Zip
- 06825-1402
- Phone Number
- 608-669-0421
License Information
- Taxonomy (1)
- Art Therapist · 221700000X
- License Number (2)
- 3579
- License State (2)
- CT
- Taxonomy (2)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mrs. Mallory Bonarrigo, LPC, ATR-BC, MS?
The NPI number of Mrs. Mallory Bonarrigo, LPC, ATR-BC, MS is 1770059131. It was assigned on October 23, 2018 and is currently active in the NPPES registry.
What is the specialty of Mrs. Mallory Bonarrigo, LPC, ATR-BC, MS?
Mrs. Mallory Bonarrigo, LPC, ATR-BC, MS is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 3579.
Where does Mrs. Mallory Bonarrigo, LPC, ATR-BC, MS practice?
The practice location is 168 Chatham RD, Fairfield, CT 06825-1402. The office can be reached at 608-669-0421 (phone).
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 1770059131 directly on the NPPES registry website.