Bonaventura, Mark
Bonaventura, Mark is an sole proprietor health care provider with primary practice located at 64 Robbins St Behavioral Health- 2Nd Floor, Waterbury CT 06708-2613. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bonaventura, Mark can be contacted via phone (203) 573-6103.Contact Information
Primary practice address
64 Robbins St Behavioral Health- 2Nd Floor
Waterbury CT 06708-2613
Phone: (203) 573-6103
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9011 | Connecticut |
Profile Details
| NPI number | 1326423500 |
|---|---|
| LBN Legal business name | Bonaventura, Mark |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2015 |
| Last updated | Jul 29th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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