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Mrs. Andra Joann Bonilla
Addiction (Substance Use Disorder) Counselor in Gardena, California
NPI 1205020328

Andra Joann Bonilla is an Addiction (Substance Use Disorder) Counselor based in Gardena, CA and is specialized in Addiction (Substance Use Disorder). Andra Joann Bonilla practices in Gardena, CA. The NPI Number for Andra Joann Bonilla is 1205020328 and holds a License No. (California).

The current practice location address for Andra Joann Bonilla is 108 W Victoria St, Gardena, CA and can be reached out via phone at 310-715-2020.

Location: 108 W Victoria St, Gardena, CA, 90248-3523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205020328
Provider Name
Andra Joann Bonilla
Credential
Provider Entity Type
Individual
Gender
Female
Address
108 W Victoria St, Gardena, CA, 90248-3523
Phone Number
310-715-2020
Fax Number
Provider Enumeration Date
08/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 W Victoria St
City
Gardena
State
California
Zip
90248-3523
Phone Number
310-715-2020
Fax Number
person
Provider Business Mailing Address Details
Address
108 W Victoria St
City
Gardena
State
California
Zip
90248-3523
Phone Number
310-715-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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