Individual provider · Type 1 NPI
Bonnie Birge
Addiction (Substance Use Disorder) Counselor · San Jose, CA
NPI number
1104247352
Active
Practice location
2218 N 1st St
San Jose, CA 95131-2007
Mailing address
935 Scott Ct
Campbell, CA 95008-6430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1104247352
Bonnie Birge's National Provider Identifier is 1104247352, issued on Dec 13, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Dec 13, 2013.