Provider Demographics
NPI:1013663434
Name:BONDS, JOSHSHEA L (MAMFT, LAMFT)
Entity type:Individual
Prefix:MS
First Name:JOSHSHEA
Middle Name:L
Last Name:BONDS
Suffix:
Gender:F
Credentials:MAMFT, LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108C STUYVESANT AVE APT C
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-1012
Mailing Address - Country:US
Mailing Address - Phone:973-727-3554
Mailing Address - Fax:
Practice Address - Street 1:1108C STUYVESANT AVE APT C
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-1012
Practice Address - Country:US
Practice Address - Phone:862-230-3467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FA00025300106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0450480423Medicaid