Individual
MR. CHARLES E BONNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
3300 LANSING AVE, JACKSON, MI 49202-1621
(517) 784-2929
Mailing address
5515 KIBBY RD, JACKSON, MI 49201-9389
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-01131
MI
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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