Bonner, Charlene Marie

Bonner, Charlene Marie is an sole proprietor health care provider with primary practice located at 276 Country Club Way , Kingston MA 02364-4121. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Bonner, Charlene Marie can be contacted via phone (617) 838-3991.

Contact Information

Primary practice address
276 Country Club Way Kingston MA 02364-4121
Phone: (617) 838-3991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 8742
Behavioral Health & Social Service Providers / Counseling 103TC1900X 8742 Massachusetts

Profile Details

NPI number 1376033837
LBN Legal business name Bonner, Charlene Marie
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2018
Last updated May 10th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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