Kim Bonaccorso is a Counselor based in Santa Ana, CA. Kim Bonaccorso practices in Santa Ana, CA. The NPI Number for Kim Bonaccorso is 1093174336 and holds a License No. (California).
The current practice location address for Kim Bonaccorso is 2100 N Broadway, Santa Ana, CA and can be reached out via phone at 714-245-6881.
Location: 2100 N Broadway, Santa Ana, CA, 92706-2624
Provider Profile Details
NPI Number
1093174336
Provider Name
Kim Bonaccorso
Credential
Provider Entity Type
Individual
Gender
Female
Address
2100 N Broadway, Santa Ana, CA, 92706-2624
Phone Number
714-245-6881
Fax Number
Provider Enumeration Date
02/15/2016
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A9578135 | 01 | CA | DRIVER LICENSE NUMBER |
Provider Business Practice Location Address Details
Address
2100 N Broadway
City
State
Zip
92706-2624
Phone Number
714-245-6881
Fax Number
Provider Business Mailing Address Details
Address
2100 N Broadway
City
State
Zip
92706-2624
Phone Number
714-245-6881
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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