Provider Demographics
NPI:1427269901
Name:KELEME, BONNIE Y (LMFT)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:Y
Last Name:KELEME
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 1:290 MAPLE CT STE 107
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-9119
Mailing Address - Country:US
Mailing Address - Phone:805-620-2679
Mailing Address - Fax:
Practice Address - Street 1:290 MAPLE CT
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3517
Practice Address - Country:US
Practice Address - Phone:805-620-2679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120331106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist