Individual provider · Type 1 NPI

Richard Charles Bonneau

Addiction (Substance Use Disorder) Counselor · Mammoth Lakes, CA

NPI number 1366712424 Active

Practice location

1290 Tavern Rd
Mammoth Lakes, CA 93546-6601

Call (760) 924-1740 Map

Fax (760) 924-1741

Mailing address

Po.box 2619
Mammoth Lakes, CA 93546-2619

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XRASI RI-1007151243 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC055990518 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1366712424

Richard Charles Bonneau's National Provider Identifier is 1366712424, issued on Jan 6, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mammoth Lakes, CA. The record was last updated on Feb 23, 2022.