Doctor Name: | JAMES BONO |
NPI Number: | 1396156634 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., LAC |
License Number: | 37AC00187100 |
Business Practice Address: | 1592b Union Valley Rd West Milford, NJ - 074801337 |
Business Phone Number: | 9736571222 |
Business Fax Number: | 9736571224 |
Mailing Address: | 1592b Union Valley Rd, WEST MILFORD |
State: | NJ |
Postal Code: | 074801337 |
Phone Number: | 9736571222 |
Fax Number: | 9736571224 |
NPI Enumeration Date: | 05/08/2014 |
NPI Last Update Date: | 05/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 37AC00187100 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |