Individual provider · Type 1 NPI

Bonita Carrasquillo

Addiction (Substance Use Disorder) Counselor · Brockton, MA

NPI number 1043858129 Active

Practice location

10 Meadowbrook Rd
Brockton, MA 02301-7122

Call (774) 213-8448 Map

Mailing address

72 Kilburn St
New Bedford, MA 02740-7321

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043858129

Bonita Carrasquillo's National Provider Identifier is 1043858129, issued on Dec 19, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brockton, MA. The record was last updated on Dec 19, 2019.