BONATIA SELF

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1902568652

Practice Address

306 AIRPORT DR
Moncks Corner, SC 29461

Phone: (843) 761-8272

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes -

Frequently Asked Questions

NPI 1902568652 is the National Provider Identifier for BONATIA SELF, a Counselor - Addiction (Substance Use Disorder) provider located in Moncks Corner, SC. This NPI was enumerated on October 11, 2021.
BONATIA SELF practices at 306 AIRPORT DR, Moncks Corner, SC 29461.

Quick Facts

NPI
1902568652
Type
Individual
Enumerated
Oct 11, 2021
Last Updated
Oct 11, 2021

Nearby Providers