Niah Bonanno, B.A.

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Mendham, NJ

NPI 1497925549 · NPPES record last updated Mar 5, 2008

Key facts

NPI
1497925549
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
80 W Main St
Mendham, NJ 07945-1257
Phone
(973) 543-5656
NPI assigned
Mar 5, 2008
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
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

80 W Main St
Mendham, NJ 07945-1257

Mailing address

80 W Main St
Mendham, NJ 07945-1257
Phone (973) 543-5656

Other names

  • Mrs. Niah Bonanno Dabney Professional name

Other providers in Mendham, NJ

All providers in Mendham, NJ · Addiction (Substance Use Disorder) Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.