Jami M Bonomo, CDP
Counselor, Addiction (Substance Use Disorder) in Tacoma, WA. Individual provider (NPI-1).
NPI number1669975751
StatusActive
Last updated in NPPESMar 14, 2018
Details
- NPI
- 1669975751
- Entity type
- Individual (NPI-1)
- Name
- Jami M Bonomo
- Credential
- CDP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2018
- Last updated
- Mar 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CP60418786 | WA | Yes |
Practice location
510 Tacoma Ave STacoma, WA 98402-5416
Phone 253-502-5426 · Fax 253-272-6666
Mailing address
510 Tacoma Ave STacoma, WA 98402-5416
Phone 253-502-5426 · Fax 253-272-6666
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