Individual provider · Type 1 NPI

Derrick Hans Bonderud, RADT

Addiction (Substance Use Disorder) Counselor · Lotus, CA

NPI number 1992346852 Active

Practice location

838 Beach Court
Lotus, CA 95651

Call (530) 626-7383 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1365380919 (CA)

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

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About NPI 1992346852

Derrick Hans Bonderud, RADT's National Provider Identifier is 1992346852, issued on Oct 2, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lotus, CA. The record was last updated on Oct 2, 2019.