Individual
LADAYSHA BONAPARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(800) 805-6989
Mailing address
650 HIGHWAY 544 APT 2311D, CONWAY, SC 29526-9541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7164965302
—
SC
Enumeration date
07/27/2022
Last updated
07/27/2022
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