| Bonnie Gross, Ma, Lpc | |
|
452 S Franklin St Ste B Titusville PA 16354-2246 | |
| (814) 827-6648 | |
| (814) 707-3056 |
| Full Name | Bonnie Gross, Ma, Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 452 S Franklin St Ste B, Titusville, Pennsylvania |
| Authorized Official Name and Position | Bonnie L Gross (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8148276648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Gross, Ma, Lpc 452 S Franklin St Ste B Titusville PA 16354-2246 Ph: (814) 827-6648 | Bonnie Gross, Ma, Lpc 452 S Franklin St Ste B Titusville PA 16354-2246 Ph: (814) 827-6648 |
| NPI Number | 1033686415 |
|---|---|
| Provider Enumeration Date | 10/24/2018 |
| Last Update Date | 07/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033686415 | NPI | - | NPPES |
| 0016519830008 | Medicaid | PA | |
| 003722233 | Other | PA | HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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