Individual provider · Type 1 NPI
Anthony Bonner, BS
Addiction (Substance Use Disorder) Counselor · Hamtrack, MI
NPI number
1801222005
Active
Practice location
4251 E. Mcnichols
Hamtrack, MI 48205
Mailing address
17535 Manderson Rd
Detroit, MI 48203-4056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1801222005
Anthony Bonner, BS's National Provider Identifier is 1801222005, issued on Sep 19, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hamtrack, MI. The record was last updated on Sep 19, 2013.