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Andy Bonifacio

Counselor, Mental Health in Haverhill, MA. Individual provider (NPI-1).

NPI number1699299263
StatusActive
Last updated in NPPESJul 26, 2017

Details

NPI
1699299263
Entity type
Individual (NPI-1)
Name
Andy Bonifacio
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 26, 2017
Last updated
Jul 26, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

116 Summer St
Haverhill, MA 01830-6032

Phone 978-373-7010

Mailing address

672 B Main St
Haverhill, MA 91830

Phone 978-476-2342

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Mental Health Counselor providers in Haverhill, MA

All 227 Mental Health Counselor providers in Haverhill · All 1,461 providers in Haverhill

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