Healthcare Provider Details

I. General information

NPI: 1104349646
Provider Name (Legal Business Name): RONALD E HONN CATC-III
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E REDLANDS BLVD STE 200
REDLANDS CA
92373-4724
US

IV. Provider business mailing address

101 E REDLANDS BLVD STE 200
REDLANDS CA
92373-4724
US

V. Phone/Fax

Practice location:
  • Phone: 855-984-1788
  • Fax:
Mailing address:
  • Phone: 855-984-1788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number122995111
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: