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Individual

CARMEN MARIE BONNIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
790 SONOMA AVE, SANTA ROSA, CA 95404-4713
(707) 360-4368
Mailing address
2403 PROFESSIONAL DR, SANTA ROSA, CA 95403-3007
(707) 360-4387

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
01/09/2025
Last updated
01/09/2025
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