Individual
BONNIE O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II-CA
Contact information
Practice address
6302 THIRTEENTH AVE, LUCERNE, CA 95458
(707) 274-9101
(072) 749-1927
Mailing address
PO BOX 1024, LUCERNE, CA 95458
(707) 274-9101
(707) 274-9192
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AII053140318
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/22/2014
Last updated
04/25/2024
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