Individual
BONNA SUE MACHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., CADC
Contact information
Practice address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6100
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC.0020814
CO
101YM0800X
Mental Health Counselor
Primary
LPC.0014031
CO
Other
Enumeration date
02/04/2009
Last updated
05/06/2019
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