Individual
PAUL JAY BONUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 W RACE ST, SOMERSET, PA 15501-1922
(814) 443-4891
Mailing address
25 6TH ST, CAIRNBROOK, PA 15924-9701
(814) 279-8426
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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