Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bonham Psychotherapy Services

Organization Clinical Social Worker · NPI 1457127722

Bonham Psychotherapy Services is a Clinical Social Worker in Grand Rapids, Minnesota. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

22991 Kolp Rd
Grand Rapids, MN 55744-6134
Phone: (218) 256-0958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1457127722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darra Bonham — Clinical Social Worker · (218) 256-0958
NPI enumeratedNovember 28, 2023
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024
Mailing address22991 Kolp Rd, Grand Rapids, MN 55744-6134

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