Individual
MS. DONNA SUE BONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
3325 DURHAM CHAPEL HILL BLVD, 230 C, DURHAM, NC 27707-6235
(919) 338-3959
(919) 419-0505
Mailing address
20 BERMOUTH CT, DURHAM, NC 27705-5400
(919) 452-8362
(919) 419-0505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1904
NC
101YM0800X
Mental Health Counselor
C008061
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
611 2356
—
NC
Enumeration date
10/20/2011
Last updated
10/04/2014
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