Christine M Bonaventura, LPC
Counselor, Professional in Marlton, NJ. Individual provider (NPI-1).
NPI number1063139368
StatusActive
Last updated in NPPESOct 26, 2022
Details
- NPI
- 1063139368
- Entity type
- Individual (NPI-1)
- Name
- Christine M Bonaventura
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2022
- Certification date
- Oct 26, 2022
- Last updated
- Oct 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | NJ | Yes |
Practice location
54 S Maple AveMarlton, NJ 08053-2002
Phone 609-923-6328
Mailing address
53 Longhurst RdEvesham, NJ 08053-1989
Phone 609-923-6328
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