Individual
ALAN WILFRED BONIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LADC, LPC
Contact information
Practice address
567 VAUXHALL STREET EXT STE 201, WATERFORD, CT 06385-4332
(401) 206-1531
Mailing address
392 STARKWEATHER RD, PLAINFIELD, CT 06374-1749
(401) 206-1531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1156
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
14120
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00609
RI
101YM0800X
Mental Health Counselor
Primary
MHC00954
RI
101YP2500X
Professional Counselor
5178
CT
Other
Enumeration date
02/06/2015
Last updated
10/03/2025
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