Mrs. Mallory Olivia Bonar
Addiction Counselor (Substance Use Disorder)
28407 State Route 7
Marietta
, Ohio 45750-5152
Mrs. Mallory Olivia Bonar
Addiction Counselor (Substance Use Disorder)
28407 State Route 7
Marietta
, Ohio 45750-5152
(740) 371-5476
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mrs. Mallory Olivia Bonar
- 28407 State Route 7
- Marietta, OH
- Zip : 45750-5152
- Phone : (740) 371-5476
Second Address
- Mrs. Mallory Olivia Bonar
- 28407 State Route 7
- Marietta, OH
- Zip : 45750-5152
- Phone : (740) 371-5476
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 005929 |
National Provider Identifier
| NPI | 1003576364 |
|---|---|
| Provider Name | Mrs. Mallory Olivia Bonar |
| First Address | Marietta, OH 45750-5152 |
| Second Address | Marietta, OH 45750-5152 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2021 |
| Last Update Date | 28/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.