KRISTINA BONANCA (NPI# 1104350610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
0701006929 | VA | Behavioral Health & Social Service Providers |
Street Address |
1500 DUNES ST APT 304 |
City | FREDERICKSBURG |
State | VA |
Zip Code | 22401-5018 |
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 Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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 |
City | FREDERICKSBURG |
Zip Code | 22401 |
Please comment or provide details below to improve the information on KRISTINA BONANCA.
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.