Individual
KAIRIS BONELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
2828 HUNTINGDON AVE, BALTIMORE, MD 21211-2921
(202) 977-1435
Mailing address
2828 HUNTINGDON AVE, BALTIMORE, MD 21211-2921
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA3468
MD
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/11/2008
Last updated
02/18/2026
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