Organization
MISTY BONHAM LLC
Active
Other names
Edelweiss Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY BONHAM (OWNER/LCSW)
(503) 427-8255
Entity
Organization
Contact information
Practice address
358 NW 1ST AVE, CANBY, OR 97013-3533
(503) 427-8255
Mailing address
PO BOX 755, CANBY, OR 97013-0755
(503) 427-8255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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