Individual provider · Type 1 NPI
Heather Jo Bonitz-Moore, ATR-BC, LPC, IMH-E
Professional Counselor · Bozrah, CT
NPI number
1821165788
Active
Practice location
46 Lebanon Rd
Bozrah, CT 06334-1116
Fax (860) 617-4082
Mailing address
195 Fowler Rd
Lebanon, CT 06249-2503
Other practice locations
- 163 Boston Post Rd, Waterford, CT 06385-2809 · (860) 444-8774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 001445 (CT) |
Professional Counselor: Definition to come...
2 other providers at this address
Other professional counselor providers in Bozrah
About NPI 1821165788
Heather Jo Bonitz-Moore, ATR-BC, LPC, IMH-E's National Provider Identifier is 1821165788, issued on Nov 29, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bozrah, CT. The record was last updated on Mar 17, 2018.