Individual
MR. DON BONHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LMSW, CASAC
Contact information
Practice address
11050 MOUNT BELVEDERE BLVD, USA MEDDAC - CREDENTIALS, FORT DRUM, NY 13602-5438
(315) 772-4025
(315) 772-9498
Mailing address
11050 MOUNT BELVEDERE BLVD, USA MEDDAC - CREDENTIALS, FORT DRUM, NY 13602-5438
(315) 772-4025
(315) 772-9498
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11769
NY
104100000X
Social Worker
055937
NY
Other
Enumeration date
11/07/2005
Last updated
09/11/2025
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