Anthony Bonner, BS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Hamtrack, MI
NPI 1801222005 · NPPES record last updated Sep 19, 2013
Key facts
- NPI
- 1801222005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 4251 E. McNichols
Hamtrack, MI 48205 - Phone
- (313) 368-4600
- NPI assigned
- Sep 19, 2013
- 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
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
4251 E. McNichols
Hamtrack, MI 48205
Mailing address
17535 Manderson Rd
Detroit, MI 48203-4056
Phone (313) 495-4012
Other providers in Hamtrack, MI
All providers in Hamtrack, MI · Addiction (Substance Use Disorder) Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2013. 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.