Individual provider · Type 1 NPI

Katherine Bonham

Mental Health Counselor · Minneapolis, MN

NPI number 1396119368 Active

Practice location

410 Church St SE
Minneapolis, MN 55455-0222

Call (612) 624-1444 Map

Fax (612) 625-7155

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X303702 (MN)
Mental Health Counselor Primary 101YM0800XCC01103 (MN)

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About NPI 1396119368

Katherine Bonham's National Provider Identifier is 1396119368, issued on Nov 13, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 14, 2020.