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NPI Code Detail

MEDICARE: MR. JOSHUA RICHARD BONE PSS, CADC-R

MEDICARE: MR. JOSHUA RICHARD BONE PSS, CADC-R
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCADC-26382NC

General Provider Information

NPI Number : 1235735440
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSHUA RICHARD BONE PSS, CADC-R
Provider Business Mailing Address
First Line : 6618 POINT COMFORT LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-3942
Country : US
Telephone Number : 704-912-8072
Fax Number :
Provider Business Practice Location Address
First Line : 8509 CROWN CRESCENT CT
Second Line :
City : CHARLOTTE
State : NC
Zip : 28227-7733
Country : US
Telephone Number : 866-951-6891
Fax Number : 704-973-7875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2020
Last Update Date : 12/11/2020

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