| Mr Richard David Bonham, LADAC | |
|
205 N Auburn Ave, Farmington, NM 87401-8411 | |
| (505) 564-3733 | |
| (505) 564-3788 |
| Full Name | Mr Richard David Bonham |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 205 N Auburn Ave, Farmington, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366641326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 5447 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard David Bonham, LADAC 205 N Auburn, Farmington, NM 87401 Ph: (505) 564-3733 | Mr Richard David Bonham, LADAC 205 N Auburn Ave, Farmington, NM 87401-8411 Ph: (505) 564-3733 |
Ms. Linda M. Link, MA LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Airport Dr Ste 220, Farmington, NM 87401 Phone: 505-326-5807 Fax: 505-326-4708 | |
Betty Lou Gonzales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 W Broadway Ste D, Farmington, NM 87401 Phone: 505-327-4796 | |
Deborah Jean Robinson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 N Butler Ave Ste 220, Farmington, NM 87401 Phone: 505-860-5529 | |
Stephanie J Benally, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1615 Ojo Court, Farmington, NM 87401 Phone: 505-564-4804 | |
Marc S. Broadway, B.A., SAA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2011 Troy King Rd Trlr 10, Farmington, NM 87401 Phone: 505-566-0336 | |
Sandra Lou Ki, Counselor Medicare: Not Enrolled in Medicare Practice Location: 406 Airport Dr, Farmington, NM 87401 Phone: 505-325-5358 Fax: 505-564-8368 | |
Daphnie Cummins, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 W Broadway, Farmington, NM 87401 Phone: 505-326-9157 |