Individual provider · Type 1 NPI
Lisa Maria Bonaviso
Mental Health Counselor · Hartsdale, NY
NPI number
1093359564
Active
Practice location
280 N Central Ave Ste 309
Hartsdale, NY 10530-1839
Mailing address
12 Fawn Ln
Armonk, NY 10504-1126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 011641 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1093359564
Lisa Maria Bonaviso's National Provider Identifier is 1093359564, issued on Oct 29, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hartsdale, NY. The record was last updated on May 5, 2023.