Individual
BONITA A. BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
416 S MAIN ST, KENTON, OH 43326-1947
(614) 334-6903
Mailing address
140 E TOWN ST STE 1450, COLUMBUS, OH 43215-6601
(614) 334-6903
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.175027
OH
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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