MR. Nathaniel Bonovitz, LCPC

NPI #1154586550 in Eagle, Idaho

Provider Information

NPI Number: 1154586550
Entity Type: Individual
Name: MR. Nathaniel Bonovitz, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LCPC
Enumeration Date: Jul 24, 2008
Last Updated: Jun 12, 2023

Practice Location

Address: 1151 E IRON EAGLE DR
City: Eagle
State: Idaho
ZIP Code: 83616-6854
Phone: (484) 557-5672

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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