Healthcare Provider Details

I. General information

NPI: 1831313287
Provider Name (Legal Business Name): BONNIE LEE ESKIE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 BANK ST STE 414
GRASS VALLEY CA
95945-6518
US

IV. Provider business mailing address

PO BOX 3565
GRASS VALLEY CA
95945-3565
US

V. Phone/Fax

Practice location:
  • Phone: 831-428-6729
  • Fax: 530-379-0166
Mailing address:
  • Phone: 831-428-6729
  • Fax: 530-379-0166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT34162
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: