Misty M Bonham, LCSW

NPI #1467010397 in Canby, Oregon

Provider Information

NPI Number
1467010397
Entity Type
Individual
Name
Misty M Bonham, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jun 5, 2019
Last Updated
Oct 16, 2023

Practice Location

Address
358 NW 1ST AVE STE 3
City
Canby
State
Oregon
ZIP Code
97013-3533
Phone
(503) 427-8255

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Social Worker - ClinicalClinical

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