Don Bonham in Fort Drum - Addiction (substance Use Disorder)
Don Bonham - NPI 1326029489
Don Bonham is a Addiction (substance Use Disorder) in Fort Drum, New York. Don Bonham practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Don Bonham is 1326029489. The last update date is 2007-07-08.
Don Bonham's current location address is 11050 Mount Belvedere Blvd, Fort Drum, New York. You can contact this provider via phone number 3157724025 and fax number 3157729498. The mailing address for Don Bonham is 11050 Mount Belvedere Blvd, Fort Drum, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Don Bonham |
|---|---|
| Address | 11050 Mount Belvedere Blvd, Fort Drum, New York |
| Phone Number | 3157724025 |
| Fax Number | 3157729498 |
| Sole Proprietor | X |
| Credentials | LMSW, CAS |
NPI Number Detail
| NPI Number | 1326029489 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11050 Mount Belvedere Blvd |
|---|---|
| City | Fort Drum |
| State | New York (NY) |
| Post Code | 136025438 |
| Phone Number | 3157724025 |
| Fax Number | 3157729498 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 11769 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique identification code assigned to Don Bonham by the Centers for Medicare & Medicaid Services?
The Don Bonham has been issued the NPI (National Provider Identifier) 1326029489. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Don Bonham is physically located?
The Don Bonham is physically situated at the following address: 11050 Mount Belvedere Blvd, Fort Drum, NY, 136025438.
What is Don Bonham's specialized field of practice, and what is the corresponding taxonomy classification code?
The Don Bonham's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
When did the Don Bonham receive its 1326029489?
The Don Bonham was issued its 1326029489 on 2005-11-07, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Don Bonham most recently updated or revised?
The information pertaining to Don Bonham, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.