Doctor Name: | MS. BONNIE JEAN RUMBLE |
NPI Number: | 1083608111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT |
License Number: | MFC31229 |
Business Practice Address: | 2047d San Elijo Ave Cardiff By The Sea, CA - 920071726 |
Business Phone Number: | 7697321539 |
Business Fax Number: | |
Mailing Address: | 1139 Stratford Dr, ENCINITAS |
State: | CA |
Postal Code: | 920245120 |
Phone Number: | 7609426030 |
Fax Number: | |
NPI Enumeration Date: | 09/05/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFC31229 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |