Individual provider · Type 1 NPI

Richard David Bonney Jr., LCAC

Addiction (Substance Use Disorder) Counselor · Indianapolis, IN

NPI number 1689217648 Active

Practice location

5638 Professional Cir
Indianapolis, IN 46241-5042

Fax (317) 247-8935

Mailing address

5101 E US Highway 36 Ste 100
Avon, IN 46123-6646

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 1689217648

Richard David Bonney Jr., LCAC's National Provider Identifier is 1689217648, issued on Oct 22, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 18, 2019.