Provider Demographics
NPI:1942915954
Name:LARSEN BOND, NANCY
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:LARSEN BOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 SCHANCK RD STE E
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-5310
Mailing Address - Country:US
Mailing Address - Phone:732-577-7930
Mailing Address - Fax:609-939-0700
Practice Address - Street 1:70 SCHANCK RD STE E
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-5310
Practice Address - Country:US
Practice Address - Phone:732-577-7930
Practice Address - Fax:609-939-0700
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor