Provider Demographics
NPI:1831313287
Name:ESKIE, BONNIE LEE (LMFT)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:LEE
Last Name:ESKIE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1988
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-1988
Mailing Address - Country:US
Mailing Address - Phone:831-428-6729
Mailing Address - Fax:
Practice Address - Street 1:10 WILLIAMSBURG LN STE C
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926
Practice Address - Country:US
Practice Address - Phone:831-428-6729
Practice Address - Fax:530-379-0166
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2018-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT34162106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty