Doctor Name: | BONNIE A DUM |
NPI Number: | 1033304654 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 515 28 Rd Grand Junction, CO - 81501 |
Business Phone Number: | 9702416023 |
Business Fax Number: | 9702428330 |
Mailing Address: | Po Box 40, GLENWOOD SPRINGS |
State: | CO |
Postal Code: | 816020040 |
Phone Number: | 9709452241 |
Fax Number: | 9709455523 |
NPI Enumeration Date: | 09/06/2007 |
NPI Last Update Date: | 09/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |