Individual
MR. JAMES ANTHONY BONIFACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC, NCC
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 409-4146
(248) 745-6872
Mailing address
2517 WORTHAM DR, ROCHESTER HILLS, MI 48307-4675
(248) 852-5284
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
311795
MI
101YP2500X
Professional Counselor
Primary
6401013388
MI
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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