Provider Demographics
NPI:1922729797
Name:MENDE, BONNIE YAW (LMFT)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:YAW
Last Name:MENDE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:BONNIE
Other - Middle Name:JEAN
Other - Last Name:YAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2862 MILLBRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-2916
Mailing Address - Country:US
Mailing Address - Phone:192-533-6183
Mailing Address - Fax:
Practice Address - Street 1:2862 MILLBRIDGE PL
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-2916
Practice Address - Country:US
Practice Address - Phone:192-533-6183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist