Evans, Bonnie Jean

Evans, Bonnie Jean is an individual health care provider with primary practice located at 111 Big Sky Ave Sw , Los Lunas NM 87031-6155. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Evans, Bonnie Jean can be contacted via phone (505) 865-9026.

Contact Information

Primary practice address
111 Big Sky Ave Sw Los Lunas NM 87031-6155
Phone: (505) 865-9026
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0097631 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CCMH0104231 New Mexico

Profile Details

NPI number 1366863706
LBN Legal business name Evans, Bonnie Jean
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2014
Last updated Jan 12th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366863706 NPPES
New Mexico Other 0097631 LICENSE

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