KRISTINA BONANCA


Address: 1500 Dunes St, Apt 304, Fredericksburg, VA 22401-5018
Phone: 5409079087

KRISTINA BONANCA (NPI# 1104350610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104350610
Entity Type Individual
Full Name KRISTINA BONANCA
Credential LPC
Practice Address 1500 Dunes St
Apt 304
Fredericksburg
VA 22401-5018
Practice Telephone 5409079087
Mailing Telephone 5409079087
Enumeration Date 2017-04-12
Last Update Date 2017-04-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
0701006929 VA Behavioral Health & Social Service Providers

Office Location

Street Address 1500 DUNES ST
APT 304
City FREDERICKSBURG
State VA
Zip Code 22401-5018

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992313415 Amanda Dodd Behavior Technician 1411 Princess Anne, Fredericksburg, VA 22401 2020-07-21
1215567326 Britteny Whitaker Behavior Technician 1411 Princess Ann, Fredericksburg, VA 22401 2020-01-17
1396389433 Ashley Stanevich Behavior Technician 1411 Princess Anne Lane, Fredericksburg, VA 22401 2019-11-01
1265074231 Anna Kelleher Behavior Technician 1411 Princess Anna St, Frericksburg, VA 22401 2019-10-11
1649824152 Zaan Z Ali Audiologist 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 2019-08-01
1790342426 Michael Williams Jr. Physician Assistant 411 B Park Hill Dr, Frederickburg, VA 22401 2019-05-29
1285290965 Ann Damalie Namabiro Behavior Technician 1411 Princess Ann Street, Fredericksburg, VA 22401 2019-05-17
1922579630 Primary and Urgent Care LLC Family Medicine Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 2018-12-07
1003323056 Mariah Mazzariello Behavior Technician 1411 Princess Anne Stree, Fredericksburg, VA 22401 2017-12-29
1336655281 Hina Zafar Behavior Technician 1411 Princess Anne St., Fredericksburg, VA 22401 2017-12-14
Find all providers in zip 22401

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245831247 Erin Roberts Counselor 1845 Sag Harbor Ln, Fredericksburg, VA 22401-5083 2020-11-05
1073135687 Gaye Berkshire Marston Counselor 11120 Gordon Rd, Fredericksburg, VA 22407-1713 2020-05-18
1063047025 Quynh H. Lee Counselor 140 Industrial Loop Ste 200, Fredericksburg, TX 78624-5458 2020-03-10
1407348501 Dina Maria Martinez Lombardy Counselor 6506 Forest Grove Dr, Fredericksburg, VA 22407 2018-06-04
1063952844 Pelorus Counseling and Consulting, LLC Counselor 3306 Bourbon St, Fredericksburg, VA 22408-7311 2017-02-28
1639612708 Desha Thompson Counselor 10304 Spotsylvania Ave Ste 300, Fredericksburg, VA 22408-8605 2016-11-22
1114398740 Courtney Mckane Counselor 1101 Stafford Ave, Fredericksburg, VA 22401-5457 2015-10-08
1295135739 Kaitlin Witmer Counselor 10712 Ballantraye Dr Ste 304, Fredericksburg, VA 22407-4702 2014-09-03
1083031454 Shirley Taylor Counselor 4510 Plank Rd Ste 203, Fredericksburg, VA 22407-0138 2014-03-24
1023443389 Larry Joseph Colby Counselor 103 Westwood Office Park, Fredericksburg, VA 22401-5124 2013-09-05
Find all providers in FREDERICKSBURG

Competitor

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City FREDERICKSBURG
Zip Code 22401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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