Healthcare Provider Details

I. General information

NPI: 1477469526
Provider Name (Legal Business Name): CHRISTINA BONITA PALLADINO MA, NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 DEKALB PIKE STE 2
NORTH WALES PA
19454-1853
US

IV. Provider business mailing address

1045 N WEST END BLVD LOT 172
QUAKERTOWN PA
18951-4116
US

V. Phone/Fax

Practice location:
  • Phone: 215-701-2932
  • Fax:
Mailing address:
  • Phone: 445-218-9152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC019186
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: