Individual provider · NPI-1

Cara Bantom-O'Neill

Counselor, Mental Health · Palm Beach Gardens, FL

NPI number1699350322
StatusActive
Last updated in NPPESJan 3, 2024

Details

NPI
1699350322
Entity type
Individual (NPI-1)
Name
Cara Bantom-O'Neill
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 15, 2021
Certification date
Nov 21, 2022
Last updated
Jan 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health20537FLYes
101YA0400X Counselor, Addiction (Substance Use Disorder)MCAP100872FL

Practice location

803 8th Ter
Palm Beach Gardens, FL 33418-3607

Phone 954-881-5387

Mailing address

803 8th Ter
Palm Beach Gardens, FL 33418-3607

Phone 954-881-5387

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