Theresa M. Bonanomi

NPI #1003365222 in New London, Connecticut

Provider Information

NPI Number: 1003365222
Entity Type: Individual
Name: Theresa M. Bonanomi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 29, 2016
Last Updated: May 16, 2023

Practice Location

Address: 365 MONTAUK AVE
City: New London
State: Connecticut
ZIP Code: 06320-4700
Phone: (860) 444-5141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Social Worker - Clinical — Clinical	1041C0700X
Adult Companion	372600000X

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