Randall Bonnom
Randall Bonnom is an Addiction (Substance Use Disorder) Counselor in Longmont, Colorado. Licensed in Colorado. Registered with an NPI since 2016.
- Licensed in
- CO
- In the registry since
- 2016
Practice location Address checks out
420 21st Ave #113Longmont, CO 80501
Phone: (303) 834-9369
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence ACB.0008050 (CO) |
|---|
Record details
| NPI number | 1588110860 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 28, 2016 |
| Last updated in NPPES | August 28, 2016 |
| Mailing address | 420 21st Ave #113, Longmont, CO 80501 |
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