Individual
REBECCA ROSE BONNEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
22704 VENTURA BLVD UNIT 115, WOODLAND HILLS, CA 91364-1333
(323) 900-5091
(323) 538-6512
Mailing address
22704 VENTURA BLVD UNIT 115, WOODLAND HILLS, CA 91364-1333
(323) 900-5091
(323) 538-6512
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1821424375
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
22278
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95010667
CA
Other
Enumeration date
09/16/2013
Last updated
03/18/2026
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