Individual
KATHERINE BONHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 624-1444
(612) 625-7155
Mailing address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 624-1444
(612) 625-7155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303702
MN
101YM0800X
Mental Health Counselor
Primary
CC01103
MN
Other
Enumeration date
11/13/2015
Last updated
01/14/2020
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