Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK HANS BONDERUD, RADT
Active Sole ProprietorDERRICK HANS BONDERUD, RADT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LOTUS, California. NPI 1992346852 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LOTUS, CA
Registration Details
- NPI Number
- 1992346852
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2019 (6.7228732299403 yrs)
- Last Updated
- Oct 2, 2019
- License
-
R1365380919 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
838 BEACH COURTLOTUS, CA, 95651Browse CA providers · Browse ZIP 95651
- Phone
- 5306267383
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LOTUS, CA
| Name | Credential | NPI |
|---|---|---|
| DANI WALDRON | CADC-CAS | 1558689489 |
| DUANE STIGEN | — | 1003212697 |
| MRS. BRITTANY MARIE MUNOZ | BSW-RADT-1 | 1871094557 |
| LUCAS MICHAEL MCROBERTS | RADT | 1013411933 |
| TOM ALLEN CLARK | — | 1033674718 |
| DANIEL ALEXANDER BRANDON | — | 1265086755 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.