Individual
CHRISTINE R BONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
28 RABBIT BRUSH RD, PAVILLION, WY 82523-9530
(307) 856-1632
Mailing address
28 RABBIT BRUSH RD, PAVILLION, WY 82523-9530
(307) 856-1632
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
19116
MT
106H00000X
Marriage & Family Therapist
19101
MT
106H00000X
Marriage & Family Therapist
Primary
LMFT-131
WY
Other
Enumeration date
03/23/2009
Last updated
05/04/2017
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