Individual provider · Type 1 NPI

Camera Bonsack, CST II

Peer Specialist · Modesto, CA

NPI number 1013213180 Active

Practice location

800 Scenic Dr Ste E
Modesto, CA 95350-6131

Call (209) 531-8016 Map

Fax (209) 525-4590

Mailing address

522 E Granger Ave
Modesto, CA 95350-4545

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Peer Specialist Primary 175T00000XMPSS-PSQHDC (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1013213180

Camera Bonsack, CST II's National Provider Identifier is 1013213180, issued on Feb 7, 2011. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Modesto, CA. The record was last updated on May 16, 2025.