Individual
JAMI M BONOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
510 TACOMA AVE S, TACOMA, WA 98402-5416
(253) 502-5426
(253) 272-6666
Mailing address
510 TACOMA AVE S, TACOMA, WA 98402-5416
(253) 502-5426
(253) 272-6666
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60418786
WA
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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