Julius John Bonner, PC
Individual provider Active NPI Mental Health Counselor · Woonsocket, RI
NPI 1558664367 · NPPES record last updated Dec 16, 2010
Key facts
- NPI
- 1558664367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 501 (RI)
- Practice address
- 80 Fabien St
Woonsocket, RI 02895-6277 - Phone
- (401) 765-3700
- Fax
- (401) 769-6046
- NPI assigned
- Dec 16, 2010
- Sex
- Male
- 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 |
|---|---|---|---|
| 501 | RI | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 501 | RI | Yes |
Addresses
Primary practice location
80 Fabien St
Woonsocket, RI 02895-6277
Mailing address
80 Fabien St
Woonsocket, RI 02895-6277
Phone (401) 765-3700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 501 | Other | RI | PRINCIPAL COUNSELOR |
Other providers in Woonsocket, RI
- Megan Boateng
- Linda Carole Boden
- Judy H Bolzani
- Cynthia Marie Bonaldi
- Francisco Miguel Bonilla
- Jacques Bonnet-Eymard
- Maximilian Bonnici
- Thepdara Boriboun
- Christine Borino
- Jeannine Marie Borozny
All providers in Woonsocket, RI · Mental Health Counselor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2010. 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.