KELLY ADELINE BONHAM

SANTA ANA, CA
NPI1356178875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  19323)
Enumeration Date2024-09-18
Last Update Date2024-10-21
Business Address
KELLY ADELINE BONHAM
200 W SANTA ANA BLVD
SANTA ANA, CA 92701-4134
Phone number: 714-480-6650
Mailing Address
KELLY ADELINE BONHAM
200 W SANTA ANA BLVD
SANTA ANA, CA 92701-4134
Phone number: 714-480-6650