Bonita A. Burroughs, CDCA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Kenton, OH
NPI 1053118232 · NPPES record last updated Feb 26, 2025
Key facts
- NPI
- 1053118232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA.175027 (OH)
- Practice address
- 416 S Main St
Kenton, OH 43326-1947 - Phone
- (614) 334-6903
- NPI assigned
- Feb 26, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.175027 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.175027 | OH | Yes |
Addresses
Primary practice location
416 S Main St
Kenton, OH 43326-1947
Mailing address
140 E Town St Ste 1450
Columbus, OH 43215-6601
Phone (614) 334-6903
Other providers in Kenton, OH
- Kathleen Brown
- Katie M Brown
- Laure Jean Brown
- Aaron L. Burkett
- D Jack Buroker
- Robert Dee Carder
- Caremed Ohio LLC
- Amanda Sue Carpenter
- Robert Michael Carrothers
- Beverly Carson
All providers in Kenton, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.