Individual
CATHERINE BONHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3595 E FOUNTAIN BLVD, COLORADO SPRINGS, CO 80910-1733
(719) 623-2356
Mailing address
334 DITTMER AVE, PUEBLO, CO 81004-1023
(171) 924-0342
(719) 240-3420
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4822
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IVERSON373
LPN
CO
Enumeration date
01/19/2011
Last updated
05/30/2024
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