| Bonham And Associates | |
|
205 N Auburn Ave Farmington NM 87401-8411 | |
| (505) 564-3733 | |
| (505) 564-3788 |
| Full Name | Bonham And Associates |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 205 N Auburn Ave, Farmington, New Mexico |
| Authorized Official Name and Position | Kim D Dutremaine (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5055643733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonham And Associates 205 N Auburn Ave Farmington NM 87401-8411 Ph: (505) 564-3733 | Bonham And Associates 205 N Auburn Ave Farmington NM 87401-8411 Ph: (505) 564-3733 |
| NPI Number | 1720231996 |
|---|---|
| Provider Enumeration Date | 10/31/2008 |
| Last Update Date | 10/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720231996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 4397 (New Mexico) | Primary |
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