| Nate Bonovitz Counseling, Llc | |
|
1151 E Iron Eagle Dr Eagle ID 83616-6854 | |
| (484) 557-5672 | |
| Not Available |
| Full Name | Nate Bonovitz Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1151 E Iron Eagle Dr, Eagle, Idaho |
| Authorized Official Name and Position | Nate Bonovitz (OWNER) |
| Authorized Official Contact | 4845575672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nate Bonovitz Counseling, Llc 5218 N Decatur Dr Boise ID 83704-2227 Ph: (484) 557-5672 | Nate Bonovitz Counseling, Llc 1151 E Iron Eagle Dr Eagle ID 83616-6854 Ph: (484) 557-5672 |
| NPI Number | 1508405945 |
|---|---|
| Provider Enumeration Date | 01/02/2020 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508405945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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