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Individual

JAMES BONO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A., LAC

Contact information

Practice address
1592B UNION VALLEY RD, WEST MILFORD, NJ 07480-1337
(973) 657-1222
(973) 657-1224
Mailing address
1592B UNION VALLEY RD, WEST MILFORD, NJ 07480-1337
(973) 657-1222
(973) 657-1224

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37AC00187100
NJ
101YM0800X
Mental Health Counselor
Primary
37AC00187100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881741098
NJ
Enumeration date
05/08/2014
Last updated
05/08/2014
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