Individual
JULIUS JOHN BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PC
Contact information
Practice address
80 FABIEN ST, WOONSOCKET, RI 02895-6277
(401) 765-3700
(401) 769-6046
Mailing address
80 FABIEN ST, WOONSOCKET, RI 02895-6277
(401) 765-3700
(401) 769-6046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
501
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
501
PRINCIPAL COUNSELOR
RI
Enumeration date
12/16/2010
Last updated
12/16/2010
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