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Individual
RICHARD BARDONNER
Active
Individual
RICHARD BARDONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDRC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20255
CA
175T00000X
Peer Specialist
MPSS-SOZKEW
CA
372600000X
Adult Companion
—
CA
Other
Enumeration date
05/02/2025
Last updated
09/21/2026
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