Individual provider · Type 1 NPI

Charles E. Bonney, CADC

Addiction (Substance Use Disorder) Counselor · Jackson, MI

NPI number 1063856763 Active

Practice location

3300 Lansing Ave
Jackson, MI 49202-1621

Mailing address

5515 Kibby Rd
Jackson, MI 49201-9389

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2-01131 (MI)

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

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About NPI 1063856763

Charles E. Bonney, CADC's National Provider Identifier is 1063856763, issued on Apr 24, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, MI. The record was last updated on Apr 24, 2013.