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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. NATHANIEL BONOVITZ, LCPC

Active

MR. NATHANIEL BONOVITZ, LCPC is a Mental Health Counselor healthcare provider located in EAGLE, Idaho. NPI 1154586550 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · EAGLE, ID

Registration Details

NPI Number
1154586550
Provider Type
Individual
Gender
Male
NPI Issued
Jul 24, 2008 (18.012798878684 yrs)
Last Updated
Jun 12, 2023
Licenses
4869 (ID)
LPC (ID)

Practice Information

Address
1151 E IRON EAGLE DR
EAGLE, ID, 836166854
Browse ID providers · Browse ZIP 83616
Phone
4845575672
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in EAGLE, ID

Name Credential NPI
MS. GLORIA S GELEYNSE M.ED., LCPC 1396715603
JUDITH L. JOHNSON APRN, CNS 1366536948
HEATHER L GLAZA LCPC 1750438388
BRENDA PICKETT LCSW 1609917293
CAROL PANGBURN 1205978095
AUSTIN M REED 1437281755
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.