Bonnie Davis-Struble, LPC
Individual provider Active NPI Professional Counselor · Belford, NJ
NPI 1770301855 · NPPES record last updated Sep 28, 2024
Key facts
- NPI
- 1770301855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 37PC00667500 (NJ)
- Practice address
- 725 Main St
Belford, NJ 07718-1626 - Phone
- (732) 859-9159
- NPI assigned
- Sep 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00667500 | NJ | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00667500 | NJ | Yes |
Addresses
Primary practice location
725 Main St
Belford, NJ 07718-1626
Mailing address
725 Main St
Belford, NJ 07718-1626
Phone (732) 859-9159
Other providers in Belford, NJ
- Beacon Specialized Living New Jersey, Inc.
- Karunakar Bhupathi
- Nicholas A Ciaccia
- Tiffanie Coby
- Craig J. Davitt, PA-C LLC
- Melina Mercer Dossantos-Falquez
- Dr Robert Lillie, LLC
- Edinger Physical Therapy, LLC
- Kathleen E Edinger
- Enable, Inc.
All providers in Belford, NJ · Professional Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.