Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bonita Marie Jackson-Vergara, LICENSEDCOUNSELOR

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1316967334

Dr. Bonita Marie Jackson-Vergara, LICENSEDCOUNSELOR is an Addiction (Substance Use Disorder) Counselor in Chesapeake, Virginia. Practices as a sole proprietor and works from 3 locations. Licensed in North Carolina and Virginia.

Licensed in
NC, VA
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218
Phone: (704) 804-9614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11714 Spring Laurel Dr, Charlotte, NC 28215-4651 — (704) 804-9614
  • 209 Research Dr, Chesapeake, VA 23320-5995 — (513) 834-7063

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4804 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0718000386 (VA)
Professional Counselor Taxonomy 101YP2500X · Licence 0701005902 (VA)

Record details

NPI number1316967334
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICENSEDCOUNSELOR
Sole proprietorYes
NPI enumeratedJuly 20, 2006
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021

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