Individual provider · Type 1 NPI

Elizabeth Bonifacic, LADC

Addiction (Substance Use Disorder) Counselor · Apple Valley, MN

NPI number 1639897424 Active

Practice location

7300 147th St W
Apple Valley, MN 55124-7541

Call (952) 997-3020 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305421 (MN)

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

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About NPI 1639897424

Elizabeth Bonifacic, LADC's National Provider Identifier is 1639897424, issued on Aug 17, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Apple Valley, MN. The record was last updated on Aug 17, 2022.