DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RICHARD CHARLES BONNEAU

MEDICARE: RICHARD CHARLES BONNEAU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorRASI RI-1007151243CA
2101YA0400XAddiction (Substance Use Disorder) CounselorC055990518CA

General Provider Information

NPI Number : 1366712424
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD CHARLES BONNEAU
Provider Business Mailing Address
First Line : PO.BOX 2619
Second Line :
City : MAMMOTH LAKES
State : CA
Zip : 93546-2619
Country : US
Telephone Number : 760-924-1740
Fax Number : 760-924-1741
Provider Business Practice Location Address
First Line : 1290 TAVERN RD
Second Line :
City : MAMMOTH LAKES
State : CA
Zip : 93546-6601
Country : US
Telephone Number : 760-924-1740
Fax Number : 760-924-1741
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2012
Last Update Date : 02/23/2022

Similar Medicare Providers

1750243259 — RODRIGO LUCERO CASTELAN
Practice Location Address:
1290 TAVERN RD
MAMMOTH LAKES, CA
93546-6601
Practice Phone: 760-924-1740
Practice Fax:
1063509834 — MRS. DEBRA GRACE STEWART RAS
Practice Location Address:
1290 TAVERN RD STE 276
MAMMOTH LAKES, CA
93546-6601
Practice Phone: 760-924-1740
Practice Fax: 760-924-1741
1326386830 — MS. HAN LI LCSW
Practice Location Address:
1290 TAVERN RD
MAMMOTH LAKES, CA
93546-6601
Practice Phone: 760-924-1760
Practice Fax:
1184067969 — ADRIANA CHRISTINA NICULESCU LMFT
Practice Location Address:
1290 TAVERN RD
MAMMOTH LAKES, CA
93546-6601
Practice Phone: 530-604-8507
Practice Fax:
1194225136 — JENNA LYNNE ARELLANO CRUZ
Practice Location Address:
1290 TAVERN RD
MAMMOTH LAKES, CA
93546-6601
Practice Phone: 760-924-1740
Practice Fax:
1669944492 — BETTY JEAN HATHAWAY
Practice Location Address:
1290 TAVERN RD
MAMMOTH LAKES, CA
93546-6601
Practice Phone: 760-924-1740
Practice Fax:

Directions to “ RICHARD CHARLES BONNEAU ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.