RICHARD CHARLES BONNEAU (NPI# 1366712424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366712424 |
| Entity Type | Individual |
| Full Name | RICHARD CHARLES BONNEAU |
| Practice Address |
452 Old Mammoth Rd 3rd Floor Mammoth Lakes CA 93546 |
| Mailing Address |
Po.box 2619 Mammoth Lakes CA 93546-2619 |
| Practice Telephone | 7609241740 |
| Practice Fax Number | 7609241741 |
| Mailing Telephone | 7609241740 |
| Mailing Fax Number | 7609241741 |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RASI RI-10071512 | CA | Behavioral Health & Social Service Providers |
| Street Address |
452 OLD MAMMOTH RD 3RD FLOOR |
| City | MAMMOTH LAKES |
| State | CA |
| Zip Code | 93546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513433 | Luisana Beatriz Baires | Case Manager/Care Coordinator | 1290 Tavern Rd., Mammoth Lakes, CA 93546 | 2020-09-21 |
| 1679106371 | Jesica Jasmin Ramos Castelan | Case Manager/Care Coordinator | 365 Sierra Park Rd, Mammoth Lakes, CA 93546 | 2020-02-20 |
| 1669970224 | Andres Villalpando | Case Manager/Care Coordinator | 452 Old Mammoth Rd Suit 304, Mammoth Lakes, CA 93546 | 2018-01-30 |
| 1598278467 | Eastern Sierra Counseling and Consulting | Social Worker | 272 Sierra Manor, Suite B1, Mammoth Lakes, CA 93546 | 2017-11-14 |
| 1053771949 | Sofia Carolina Flores | Counselor | 451 Old Mammoth Rd, 304, Mammoth Lakes, CA 93546 | 2016-03-04 |
| 1669848180 | Jennifer Liebersbach | Chiropractor | 645 Old Mammoth Rd., Mammoth Lakes, CA 93546 | 2015-08-19 |
| 1316281918 | France Jacqueline Fischer | Behavioral Analyst | 2251 Meridian Blvd., Mammoth Lakes, CA 93546 | 2012-11-20 |
| 1407155435 | Mammoth Lakes Fire Protection District | Ambulance | 3150 Main Street, Mammoth Lakes, CA 93546 | 2011-03-16 |
| 1588964381 | Nancy Ellen Johnson | Pharmacist | 481 Old Mammoth Road, Mammoth Lakes, CA 93546 | 2010-10-26 |
| 1093035156 | Bryan S. Dennison | Physical Therapist | 51 Club Dr., Mammoth Lakes, CA 93546 | 2010-06-10 |
| Find all providers in zip 93546 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619021060 | Christy Allison Forkenbrock | Counselor | 122 Meadow Lane, Mammoth Lakes, CA 93546 | 2007-01-23 |
| 1073817557 | Danielle George | Counselor | 452 Old Mammoth Road, Mammoth Lakes, CA 93546-2619 | 2010-12-27 |
| 1679609598 | Michael L Lear | Counselor | 452 Old Mammoth Road, 3rd Floor, Mammoth Lakes, CA 93546-0374 | 2007-02-26 |
| 1659468429 | Sandra Jean Lund | Counselor | 452 Old Mammoth Road, Mammoth Lakes, CA 93546-2619 | 2006-10-05 |
| 1063509834 | Debra Grace Stewart | Counselor | 452 Old Mammoth Road, 3rd Floor, Mammoth Lakes, CA 93546-2619 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1538760871 | Ky Washington | Counselor | 1625 Sweetwater Rd # C1, National City, CA 91950-7647 | 2020-11-03 |
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1285233155 | Alaric Fairchild | Counselor | 1400 N Johnson Ave Ste 1011400n, El Cajon, CA 92020-1650 | 2020-10-21 |
| 1487253571 | Roxanne Rene Coito | Counselor | 1919 Apple St # D, Oceanside, CA 92054-4425 | 2020-10-20 |
| 1255939732 | Diana Palencia | Counselor | 44459 10th St W, Lancaster, CA 93534-3324 | 2020-10-15 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | MAMMOTH LAKES |
| Zip Code | 93546 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.