Individual provider · Type 1 NPI

Bonatia Self

Addiction (Substance Use Disorder) Counselor · Moncks Corner, SC

NPI number 1902568652 Active

Practice location

306 Airport Dr
Moncks Corner, SC 29461-2629

Fax (843) 719-3025

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 1902568652

Bonatia Self's National Provider Identifier is 1902568652, issued on Oct 11, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Moncks Corner, SC. The record was last updated on Oct 11, 2021.