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Stephanie Bonilla
Addiction (Substance Use Disorder) Counselor in Wilmington, California
NPI 1316477250

Stephanie Bonilla is an Addiction (Substance Use Disorder) Counselor based in Wilmington, CA and is specialized in Addiction (Substance Use Disorder). Stephanie Bonilla practices in Wilmington, CA. The NPI Number for Stephanie Bonilla is 1316477250 and holds a License No. (California).

The current practice location address for Stephanie Bonilla is 1318 N Avalon Blvd, Wilmington, CA and can be reached out via phone at 310-549-2710 and via fax at 310-549-2715.

Location: 1318 N Avalon Blvd, Wilmington, CA, 90744-2639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316477250
Provider Name
Stephanie Bonilla
Credential
Provider Entity Type
Individual
Gender
Female
Address
1318 N Avalon Blvd, Wilmington, CA, 90744-2639
Phone Number
310-549-2710
Fax Number
310-549-2715
Provider Enumeration Date
06/13/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6197-R 05 CA
institution
Provider Business Practice Location Address Details
Address
1318 N Avalon Blvd
City
Wilmington
State
California
Zip
90744-2639
Phone Number
310-549-2710
Fax Number
310-549-2715
person
Provider Business Mailing Address Details
Address
1318 N Avalon Blvd
City
Wilmington
State
California
Zip
90744-2639
Phone Number
310-549-2710
Fax Number
310-549-2715
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...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
()
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
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