person
Mr. Richard David Bonham, LADAC
Addiction (Substance Use Disorder) Counselor in Farmington, New Mexico
NPI 1366641326

Richard David Bonham is an Addiction (Substance Use Disorder) Counselor based in Farmington, NM and is specialized in Addiction (Substance Use Disorder). Richard David Bonham practices in Farmington, NM and has the professional credentials of LADAC. The NPI Number for Richard David Bonham is 1366641326 and holds a License No. 5447 (New Mexico).

The current practice location address for Richard David Bonham is 205 N Auburn Ave, Farmington, NM and can be reached out via phone at 505-564-3733 and via fax at 505-564-3788.

Location: 205 N Auburn Ave, Farmington, NM, 87401
person
Provider Profile Details
NPI Number
1366641326
Provider Name
Richard David Bonham
Credential
LADAC
Provider Entity Type
Individual
Gender
Male
Address
205 N Auburn Ave, Farmington, NM, 87401
Phone Number
505-564-3733
Fax Number
505-564-3788
Provider Enumeration Date
07/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
205 N Auburn Ave
City
State
Zip
87401-8411
Phone Number
505-564-3733
Fax Number
505-564-3788
person
Provider Business Mailing Address Details
Address
205 N Auburn Ave
City
State
Zip
87401-8411
Phone Number
505-564-3733
Fax Number
505-564-3788
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5447 (New Mexico)
Definition
Definition to come...
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