Individual provider · Type 1 NPI

Patrick Bonacum

Addiction (Substance Use Disorder) Counselor · Brentwood, NY

NPI number 1306729108 Active

Practice location

452 Suffolk Ave
Brentwood, NY 11717-4214

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 1306729108

Patrick Bonacum's National Provider Identifier is 1306729108, issued on Jul 29, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brentwood, NY. The record was last updated on Jul 29, 2025.