Individual provider · Type 1 NPI

Joanna Rose Bonura, LMHC, CASAC-2

Mental Health Counselor · Port Jefferson, NY

NPI number 1528624665 Active

Practice location

200 Belle Terre Rd
Port Jefferson, NY 11777-1968

Call (631) 474-6981 Map

Mailing address

54 Ridge Haven Dr
Ridge, NY 11961-2136

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X35008 (NY)
Mental Health Counselor Primary 101YM0800X015906 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1528624665

Joanna Rose Bonura, LMHC, CASAC-2's National Provider Identifier is 1528624665, issued on May 14, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Jefferson, NY. The record was last updated on Apr 8, 2025.