Bonita Hagbom, ACLC is a 
Counselor - Addiction (substance Use Disorder) based in Ulm, Montana. Bonita Hagbom is licensed to practice in Montana (license number BBH-ACLC-LIC-71887) and her current practice location is 
Po Box 295, Ulm, Montana. She can be reached at her office (for appointments etc.) via phone at 
(000) 000-0000.
NPI number for Bonita Hagbom is 1346983244 and her current mailing address is Po Box 295, Ulm, Montana. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346983244.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Bonita Hagbom | 
|---|
| Gender | Female | 
|---|
| Speciality | Counselor - Addiction (substance Use Disorder) | 
|---|
| Location | Po Box 295, Ulm, Montana | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1346983244
- Provider Enumeration Date: 04/18/2022
- Last Update Date: 10/01/2024
 
		 
		 
Medical Identifiers
		Medical identifiers for Bonita Hagbom such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1346983244 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO61295697 (Washington) | Secondary | 
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | BBH-ACLC-LIC-71887 (Montana) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bonita Hagbom is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Bonita Hagbom, ACLC Po Box 295,
 Ulm, MT 59485-0295
 Ph: () -
 | Bonita Hagbom, ACLC Po Box 295,
 Ulm, MT 59485-0295
 Ph: (000) 000-0000
 | 
		
		 
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