Provider Demographics
NPI:1023133758
Name:D'ONOFRIO, JOANNE M (LMHC)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:M
Last Name:D'ONOFRIO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 DENT RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10308-2952
Mailing Address - Country:US
Mailing Address - Phone:718-967-1249
Mailing Address - Fax:
Practice Address - Street 1:74 DENT RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10308-2952
Practice Address - Country:US
Practice Address - Phone:718-967-1249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000487101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health