NPI Profile for MADISON BONASSO in MORGANTOWN, WV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Counselor |
101Y00000X |
| NPI Number | 1003432766 |
|
| Status | Active | |
| Credentials | LPC (Licensed Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 06/18/2020 | |
| Last updated | 03/17/2025 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MADISON BONASSO
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| JOANN M FREY, BSN, MS, LPC 1277 SUNCREST TOWNE CENTRE MORGANTOWN, WV |
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