Individual
ANITA BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
3 CORPORATE DR, PEEKSKILL, NY 10566-1846
(914) 257-3500
Mailing address
3 CORPORATE DR, PEEKSKILL, NY 10566-1846
(914) 257-3500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12092
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12092
CASAC
NY
Enumeration date
06/03/2016
Last updated
06/03/2016
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