Organization · Type 2 NPI

Bon Creative Change, LLC

Professional Counselor · Rio Rancho, NM

NPI number 1366954968 Active

Practice location

1400 Barbara Loop SE Ste H
Rio Rancho, NM 87124-1088

Call (505) 620-9785 Map

Mailing address

11024 Montgomery Blvd NE # 359
Albuquerque, NM 87111-3962

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XO124121 (NM)
Professional Counselor Primary 101YP2500X0124121 (NM)

Professional Counselor: Definition to come...

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About NPI 1366954968

Bon Creative Change, LLC's National Provider Identifier is 1366954968, issued on Nov 4, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rio Rancho, NM. The record was last updated on Jan 24, 2018.