Individual
STEVIE BONNEVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
131 CHADWICK ST APT B, PORTLAND, ME 04102-3214
(207) 320-3593
Mailing address
131 CHADWICK ST APT B, PORTLAND, ME 04102-3214
(207) 320-3593
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC8625
ME
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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