person
Richard Charles Bonneau
Addiction (Substance Use Disorder) Counselor in Mammoth Lakes, California
NPI 1366712424

Richard Charles Bonneau is an Addiction (Substance Use Disorder) Counselor based in Mammoth Lakes, CA and is specialized in Addiction (Substance Use Disorder). Richard Charles Bonneau practices in Mammoth Lakes, CA. The NPI Number for Richard Charles Bonneau is 1366712424 and holds a License No. RASI RI-1007151243 (California).

The current practice location address for Richard Charles Bonneau is 1290 Tavern Rd, Mammoth Lakes, CA and can be reached out via phone at 760-924-1740 and via fax at 760-924-1741.

Location: 1290 Tavern Rd, Mammoth Lakes, CA, 93546-2619
person
Provider Profile Details
NPI Number
1366712424
Provider Name
Richard Charles Bonneau
Credential
Provider Entity Type
Individual
Gender
Male
Address
1290 Tavern Rd, Mammoth Lakes, CA, 93546-2619
Phone Number
760-924-1740
Fax Number
760-924-1741
Provider Enumeration Date
01/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1290 Tavern Rd
City
State
Zip
93546-6601
Phone Number
760-924-1740
Fax Number
760-924-1741
person
Provider Business Mailing Address Details
Address
1290 Tavern Rd
City
State
Zip
93546-6601
Phone Number
760-924-1740
Fax Number
760-924-1741
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
RASI RI-1007151243 (California)
Definition
Definition to come...
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