Individual
BONNIE BIANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC, CADAC, NCACII
Contact information
Practice address
445 MILLER VALLEY RD, PRESCOTT, AZ 86301-2925
(928) 778-5375
(928) 778-5712
Mailing address
445 MILLER VALLEY RD, PRESCOTT, AZ 86301-2925
(928) 778-5375
(928) 778-5712
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11499
AZ
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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