Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bonatia Self

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1902568652

Bonatia Self is an Addiction (Substance Use Disorder) Counselor in Moncks Corner, South Carolina. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

306 Airport Dr
Moncks Corner, SC 29461-2629
Phone: (843) 761-8272
Fax: (843) 719-3025
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1902568652
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 11, 2021
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021
Mailing address306 Airport Dr, Moncks Corner, SC 29461-2629

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