NPI 1003483611
Jacqueline R Bonardi
Practice location
- Address
- 1485 M 139, Benton Harbor, MI 49022-5711
- Phone
- (269) 925-0585
- Fax
- (269) 927-1326
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003483611
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Jun 2021
- Record last updated
- 10 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.