| Doctor Name: | MS. NICOLE DIANE BONNEAU |
| NPI Number: | 1205996279 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LICSW |
| License Number: | 425199 |
| Business Practice Address: | 36 Woburn St Reading, MA - 018672973 |
| Business Phone Number: | 7819429277 |
| Business Fax Number: | |
| Mailing Address: | 36 Woburn St, READING |
| State: | MA |
| Postal Code: | 018672973 |
| Phone Number: | 7819429277 |
| Fax Number: | |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 09/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | 425199 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |