Kayla Marie Bonzi

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ceres, CA

NPI 1629875422 · NPPES record last updated Mar 28, 2025

Key facts

NPI
1629875422
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
1904 Richland Ave
Ceres, CA 95307-4562
Phone
(209) 525-7442
NPI assigned
Feb 27, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

1904 Richland Ave
Ceres, CA 95307-4562

Mailing address

1904 Richland Ave
Ceres, CA 95307-4562
Phone (209) 525-7442

Other providers in Ceres, CA

All providers in Ceres, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

Verify at the official NPI Registry.