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Ms. Bonita May Cooke, SAC-IT
Addiction (Substance Use Disorder) Counselor in Beloit, Wisconsin
NPI 1578073870

Bonita May Cooke is an Addiction (Substance Use Disorder) Counselor based in Beloit, WI and is specialized in Addiction (Substance Use Disorder). Bonita May Cooke practices in Beloit, WI and has the professional credentials of SAC-IT. The NPI Number for Bonita May Cooke is 1578073870 and holds a License No. 16946 (Wisconsin).

The current practice location address for Bonita May Cooke is 838 Grant St., Beloit, WI and can be reached out via phone at 608-322-2393.

Location: 838 Grant St., Beloit, WI, 53511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578073870
Provider Name
Bonita May Cooke
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
838 Grant St., Beloit, WI, 53511
Phone Number
608-322-2393
Fax Number
Provider Enumeration Date
10/02/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 05 WI
institution
Provider Business Practice Location Address Details
Address
838 Grant St.
City
Beloit
State
Wisconsin
Zip
53511
Phone Number
608-322-2393
Fax Number
person
Provider Business Mailing Address Details
Address
838 Grant St.
City
Beloit
State
Wisconsin
Zip
53511
Phone Number
608-322-2393
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
16946 (Wisconsin)
Definition
Definition to come...
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