SearchMontana101YA0400X

Jerry Bonneau, LAC, AAS

NPI 1932429701 · on the registry since 2010

Practice

Address
1312 N Meridian Rd
Kalispell, MT 59901
Phone
(406) 756-6453
Organisation at this address
County Of Flathead
Gateway Community Services
Flathead Valley Chemical Dependency Clinic Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana