person
Bonatia Self
Addiction (Substance Use Disorder) Counselor in Moncks Corner, South Carolina
NPI 1902568652

Bonatia Self is an Addiction (Substance Use Disorder) Counselor based in Moncks Corner, SC and is specialized in Addiction (Substance Use Disorder). Bonatia Self practices in Moncks Corner, SC. The NPI Number for Bonatia Self is 1902568652 and holds a License No. (South Carolina).

The current practice location address for Bonatia Self is 306 Airport Dr, Moncks Corner, SC and can be reached out via phone at 843-761-8272 and via fax at 843-719-3025.

Location: 306 Airport Dr, Moncks Corner, SC, 29461-2629
person
Provider Profile Details
NPI Number
1902568652
Provider Name
Bonatia Self
Credential
Provider Entity Type
Individual
Gender
Female
Address
306 Airport Dr, Moncks Corner, SC, 29461-2629
Phone Number
843-761-8272
Fax Number
843-719-3025
Provider Enumeration Date
10/11/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
571048948 05 SC
institution
Provider Business Practice Location Address Details
Address
306 Airport Dr
City
State
Zip
29461-2629
Phone Number
843-761-8272
Fax Number
843-719-3025
person
Provider Business Mailing Address Details
Address
306 Airport Dr
City
State
Zip
29461-2629
Phone Number
843-761-8272
Fax Number
843-719-3025
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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