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Search › Arizona › 225200000X

Carl Bonanno

NPI 1952068306 · on the registry since 2021

Practice

Address
11301 N 99th Ave
Peoria, AZ 85345
Phone
(623) 977-9373
Organisation at this address
Immanuel Caring Ministries, Inc.
Immanuel Behavioral Health Counseling Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona