RICHARD CHARLES BONNEAU
NPI 1366712424
Counselor - Addiction (Substance Use Disorder) in Mammoth Lakes, CA

Active since January 06, 2012
1290 TAVERN RD, MAMMOTH LAKES, CA 93546(760) 924-1740(760) 924-1741 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard Charles Bonneau NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD CHARLES BONNEAU (NPI 1366712424) is an individual addiction (substance use disorder) provider in Mammoth Lakes, California, licensed in California (C055990518) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1366712424
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRICHARD CHARLES BONNEAU
Location Address1290 TAVERN RDMammoth Lakes, CA 93546-6601
Mailing AddressPo.box 2619Mammoth Lakes, CA 93546-2619 · (760) 924-1740 · Fax (760) 924-1741
Fax(760) 924-1741
Sole ProprietorNo
Enumeration DateJanuary 6, 2012
Last NPPES UpdateFebruary 23, 2022
NPPES CertifiedFebruary 23, 2022
NPI 1366712424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses Licensed in CA · C055990518 Licensed in CA · RASI RI-1007151243
1290 TAVERN RD, Mammoth Lakes, CA 93546

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Adult Companion
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Counselor (Addiction (Substance Use Disorder))
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Case Manager/Care Coordinator
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Marriage & Family Therapist
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Community Health Worker
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Adult Companion
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Social Worker (Clinical)
1290 TAVERN RD
MAMMOTH LAKES, CA 93546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Bonneau's NPI number?

The NPI number for Richard Bonneau is 1366712424. It was assigned to this individual provider in the NPPES registry on January 6, 2012.

Where is Richard Bonneau located?

Richard Bonneau practices at 1290 Tavern Rd, Mammoth Lakes, CA 93546. The listed phone number is (760) 924-1740.

What is Richard Bonneau's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Richard Bonneau was last updated on February 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.