Kelly Adeline Bonham
Kelly Adeline Bonham is an Addiction (Substance Use Disorder) Counselor in Santa Ana, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
200 W Santa Ana BlvdSanta Ana, CA 92701-4134
Phone: (714) 480-6650
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 19323 (CA) |
Record details
| NPI number | 1356178875 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 18, 2024 |
| Last updated in NPPES | October 21, 2024 |
| Certification date | October 21, 2024 |
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