Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Charles Bonderer, RADT-1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164157798

Jason Charles Bonderer, RADT-1 is an Addiction (Substance Use Disorder) Counselor in Placerville, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

2844 Coloma St
Placerville, CA 95667-4406
Phone: (530) 626-6290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1474650722 (CA)

Record details

NPI number1164157798
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT-1
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022

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