BONITA JO WILDER

COLORADO SPRINGS, CO
NPI1548703564
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACC.0005334)
Enumeration Date2016-11-22
Last Update Date2024-05-06
Business Address
BONITA JO WILDER CAC III
421 S TEJON ST STE 100
COLORADO SPRINGS, CO 80903-2139
Phone number: 719-308-5450
Mailing Address
BONITA JO WILDER CAC III
208 STEVEN DR
COLORADO SPRINGS, CO 80911-1554
Phone number: 719-528-3500
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