Richard David Bonney Jr., LCAC
Counselor, Addiction (Substance Use Disorder) in Indianapolis, IN. Individual provider (NPI-1).
NPI number1689217648
StatusActive
Last updated in NPPESNov 18, 2019
Details
- NPI
- 1689217648
- Entity type
- Individual (NPI-1)
- Name
- Mr. Richard David Bonney Jr.
- Credential
- LCAC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2019
- Last updated
- Nov 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
5638 Professional CirIndianapolis, IN 46241-5042
Phone 888-714-1927 · Fax 317-247-8935
Mailing address
5101 E Us Highway 36 Ste 100Avon, IN 46123-6646
Phone 888-714-1927 · Fax 317-247-8935
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