BONITA JO WILDER CAC III NPI 1548703564

NPI Information

NPI: 1548703564
Provider Name: BONITA JO WILDER, CAC III
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2270 LAMONTANA WAY
201
COLORADO SPRINGS, CO
ZIP 80918
Phone: (719) 528-3500
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Bonita Jo Wilder, CAC III is an addiction (substance use disorder) counselor in Colorado Springs, CO. Bonita Jo Wilder, CAC III NPI is 1548703564. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2270 LAMONTANA WAY
201
COLORADO SPRINGS, CO
ZIP 80918
Phone: (719) 528-3500
Fax: (719) 528-2433

The enumeration date for this NPI number is 11/22/2016 and was last updated on 11/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ACC.0005334	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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