Individual
AMY R BONEBRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CADC, SAP
Contact information
Practice address
3640 CANTERBURY CT, WATERLOO, IA 50702-5705
(319) 252-4631
(319) 252-4631
Mailing address
4819 GREENBELT DR, CEDAR FALLS, IA 50613-9619
(319) 243-9020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
09007
IA
104100000X
Social Worker
Primary
109128
IA
Other
Enumeration date
06/23/2017
Last updated
07/13/2023
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