Individual provider · Type 1 NPI

Bonita May Cooke, SAC-IT

Addiction (Substance Use Disorder) Counselor · Beloit, WI

NPI number 1578073870 Active

Practice location

838 Grant St.
Beloit, WI 53511

Call (608) 322-2393 Map

Mailing address

2240 Praire Ave., 10
Beloit, WI 53511

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16946 (WI)

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

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About NPI 1578073870

Bonita May Cooke, SAC-IT's National Provider Identifier is 1578073870, issued on Oct 2, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Beloit, WI. The record was last updated on Oct 2, 2017.