Individual provider · Type 1 NPI

Alissa Bonebrake

Professional Counselor · Havertown, PA

NPI number 1558629352 Active

Practice location

2000 Old West Chester Pike
Havertown, PA 19083-2712

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC0000583 (DE)

Professional Counselor: Definition to come...

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About NPI 1558629352

Alissa Bonebrake's National Provider Identifier is 1558629352, issued on Apr 30, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Havertown, PA. The record was last updated on Apr 30, 2012.