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NPI 1588977789

Tracey Bonner, CADC-ll

Counselor, Addiction (Substance Use Disorder) · Rialto, CA

Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 4:14 pm EDT

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Tracey Bonner, CADC-ll is a health care provider (Counselor, Addiction (Substance Use Disorder)) in Rialto, California with National Provider Identifier (NPI) 1588977789. The NPI was issued on Jul 16, 2010 and the registry record was last updated on Sep 11, 2025. The registry lists a license in California.

Registry record

NPI
1588977789
Type
Individual (NPI-1)
Primary specialty
Counselor, Addiction (Substance Use Disorder) 101YA0400X
Practice location
850 E Foothill Blvd
Rialto, CA 92376-5230
Phone
(909) 421-9479
NPI issued
Jul 16, 2010
Registry record updated
Sep 11, 2025
Other names
Tracey Denise James (other name)

Specialties and licenses

SpecialtyTaxonomy codeLicense stateLicense
Counselor, Addiction (Substance Use Disorder) Primary101YA0400XCaliforniaA021970216

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Addiction (Substance Use Disorder) Counselor providers in California

Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.