Individual provider · Type 1 NPI

Nathaniel Bonovitz, LCPC

Mental Health Counselor · Eagle, ID

NPI number 1154586550 Active

Practice location

1151 E Iron Eagle Dr
Eagle, ID 83616-6854

Call (484) 557-5672 Map

Mailing address

3631 Overland Rd
Boise, ID 83705-6033

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X4869 (ID)
Mental Health Counselor Primary 101YM0800XLPC (ID)

Mental Health Counselor: Definition to come...

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About NPI 1154586550

Nathaniel Bonovitz, LCPC's National Provider Identifier is 1154586550, issued on Jul 24, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eagle, ID. The record was last updated on Jun 12, 2023.