Individual
BONNIE BALLOU FUCHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2844 COLOMA ST, PLACERVILLE, CA 95667-4406
(530) 642-1715
(530) 642-2064
Mailing address
2844 COLOMA ST, PLACERVILLE, CA 95667-4406
(530) 642-1715
(530) 642-2064
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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