Bonita Wilder, CAC III

NPI 1548703564 · on the registry since 2016 · sole proprietor

Practice

Address: 421 S Tejon St Ste 100
Colorado Springs, CO 80903
Phone: (719) 308-5450
Organisation at this address: Pcim
Peak Interventions Llc
Slm Therapy Services, Llc
Ascend Recovery Solutions Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado