Provider Demographics
NPI:1235735440
Name:BONE, JOSHUA RICHARD (PSS, CADC-R)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:RICHARD
Last Name:BONE
Suffix:
Gender:M
Credentials:PSS, CADC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6618 POINT COMFORT LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-3942
Mailing Address - Country:US
Mailing Address - Phone:704-912-8072
Mailing Address - Fax:
Practice Address - Street 1:8509 CROWN CRESCENT CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-7733
Practice Address - Country:US
Practice Address - Phone:866-951-6891
Practice Address - Fax:704-973-7875
Is Sole Proprietor?:No
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCADC-26382101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)