Individual provider · Type 1 NPI

Brian Edward Bononi I, CDPT

Addiction (Substance Use Disorder) Counselor · Sedro Woolley, WA

NPI number 1689122624 Active

Practice location

1960 Thompson Dr
Sedro Woolley, WA 98284-5007

Fax (360) 856-3138

Mailing address

7440 W Marginal Way S
Seattle, WA 98108-4141

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X60606561 (WA)

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

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About NPI 1689122624

Brian Edward Bononi I, CDPT's National Provider Identifier is 1689122624, issued on Sep 20, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sedro Woolley, WA. The record was last updated on Sep 20, 2016.