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Individual

MR. RICHARD DAVID BONNEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCAC

Contact information

Practice address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(888) 714-1927
(317) 247-8935
Mailing address
5101 E US HIGHWAY 36 STE 100, AVON, IN 46123-6646
(888) 714-1927
(317) 247-8935

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/22/2019
Last updated
11/18/2019
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