Individual provider · Type 1 NPI

Bonaventura Bruno

Mental Health Counselor · Worcester, MA

NPI number 1205240207 Active

Practice location

11 Sycamore St
Worcester, MA 01608-2213

Mailing address

8339 120th Ave N
West Palm Beach, FL 33412-2900

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205240207

Bonaventura Bruno's National Provider Identifier is 1205240207, issued on Jun 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Jun 17, 2014.