Individual provider · Type 1 NPI
Bonnie L. White, MA, SAC-IT
Addiction (Substance Use Disorder) Counselor · Mequon, WI
NPI number
1437433992
Active
Practice location
10532 N Port Washington Rd, Suite 1B
Mequon, WI 53092-5563
Fax (262) 242-3816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 16099-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1437433992
Bonnie L. White, MA, SAC-IT's National Provider Identifier is 1437433992, issued on Oct 3, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mequon, WI. The record was last updated on Oct 3, 2011.