Individual
MR. EDWARD BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
961 MARCON BLVD STE 312, ALLENTOWN, PA 18109-9373
(610) 428-9141
Mailing address
5020 MOHAWK DR, SCHNECKSVILLE, PA 18078-2621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9869
PA
101YP2500X
Professional Counselor
Primary
PC004595
PA
Other
Enumeration date
07/19/2007
Last updated
04/25/2018
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