MICAH BONNER

NEWPORT, TN
NPI1639052251
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-07-30
Last Update Date2025-07-30
Business Address
MICAH BONNER MA, LADAC-II
980 W HIGHWAY 25 70
NEWPORT, TN 37821-9006
Phone number: 865-805-0567
Mailing Address
MICAH BONNER MA, LADAC-II
8500 OLDE COLONY TRL APT 11
KNOXVILLE, TN 37923-6227
Phone number: