Individual
DEBRA BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3870 ROSIN CT, SUITE 130, SACRAMENTO, CA 95834-1620
(916) 369-7872
(916) 923-2813
Mailing address
3870 ROSIN CT, SUITE 130, SACRAMENTO, CA 95834-1620
(916) 369-7872
(916) 923-2813
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
MHA I, II, III
CA
Enumeration date
02/04/2015
Last updated
08/19/2020
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