Individual
MRS. NIAH BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
80 W MAIN ST, MENDHAM, NJ 07945-1257
(973) 543-5656
Mailing address
80 W MAIN ST, MENDHAM, NJ 07945-1257
(973) 543-5656
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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