Most Relevant Information
Provider Data
| NPI Number: | 1003817032 |
| Provider Name: | SUZANNE JEAN BONAVENTURA-KRISCHKE MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 99025239A |
Most Important Dates
| Enumeration Date: | 08/01/2005 |
| Last Updated: | 04/01/2016 |
Provider Practice Location
250 N MAIN ST
CROWN POINT
IN
463073252
Practice Location Phone/Fax
| Phone: | 2196636353 |
| Fax: | 2196636155 |
Provider Mailing Location
250 N MAIN ST
CROWN POINT
IN
463073278
Provider Mailing Phone/Fax
| Phone: | 2196636353 |
| Fax: | 2196636155 |