Individual
BONITA PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 BEECH ST, NEWLAND, NC 28657-9670
(828) 733-5889
(828) 733-9462
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1899
NC
106H00000X
Marriage & Family Therapist
Primary
1375
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106H0000X
—
NC
Enumeration date
08/08/2011
Last updated
05/09/2017
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