Provider Demographics
NPI:1063279602
Name:HINOJOS, BONNIE JUNE
Entity type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:JUNE
Last Name:HINOJOS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:BONNIE
Other - Middle Name:JUNE
Other - Last Name:KIRBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1851 HERITAGE LN STE 150
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4996
Mailing Address - Country:US
Mailing Address - Phone:916-913-0822
Mailing Address - Fax:
Practice Address - Street 1:1851 HERITAGE LN STE 150
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4996
Practice Address - Country:US
Practice Address - Phone:916-913-0822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)