Ethan D Bonham
Ethan D Bonham is a Mental Health Counselor in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2026.
- Licensed in
- ID
- In the registry since
- 2026
Practice location Address checks out
921 S 8th AvePocatello, ID 83201-5377
Phone: (816) 977-7323
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 7481011 (ID) |
|---|
Record details
| NPI number | 1588596829 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 1, 2026 |
| Last updated in NPPES | June 1, 2026 |
| Certification date | June 1, 2026 |
| Mailing address | 921 S 8th Ave, Pocatello, ID 83201-5377 |
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