person
Randall Bonnom
Addiction (Substance Use Disorder) Counselor in Longmont, Colorado
NPI 1588110860

Randall Bonnom is an Addiction (Substance Use Disorder) Counselor based in Longmont, CO and is specialized in Addiction (Substance Use Disorder). Randall Bonnom practices in Longmont, CO. The NPI Number for Randall Bonnom is 1588110860 and holds a License No. ACB.0008050 (Colorado).

The current practice location address for Randall Bonnom is 420 21St Ave #113, Longmont, CO and can be reached out via phone at 303-834-9369.

Location: 420 21St Ave #113, Longmont, CO, 80501
person
Provider Profile Details
NPI Number
1588110860
Provider Name
Randall Bonnom
Credential
Provider Entity Type
Individual
Gender
Male
Address
420 21St Ave #113, Longmont, CO, 80501
Phone Number
303-834-9369
Fax Number
Provider Enumeration Date
08/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
420 21St Ave #113
City
State
Zip
80501
Phone Number
303-834-9369
Fax Number
person
Provider Business Mailing Address Details
Address
420 21St Ave #113
City
State
Zip
80501
Phone Number
303-834-9369
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
ACB.0008050 (Colorado)
Definition
Definition to come...
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