person
Daniela Alejandra Bonilla Bermudez, LADC
Addiction (Substance Use Disorder) Counselor in St Louis Park, Minnesota
NPI 1407210784

Daniela Alejandra Bonilla Bermudez is an Addiction (Substance Use Disorder) Counselor based in St Louis Park, MN and is specialized in Addiction (Substance Use Disorder). Daniela Alejandra Bonilla Bermudez practices in St Louis Park, MN and has the professional credentials of LADC. The NPI Number for Daniela Alejandra Bonilla Bermudez is 1407210784 and holds a License No. 304119 (Minnesota).

The current practice location address for Daniela Alejandra Bonilla Bermudez is 6200 Excelsior Blvd Ste 203, St Louis Park, MN and can be reached out via phone at 952-548-9354 and via fax at 952-925-3264.

Location: 6200 Excelsior Blvd Ste 203, St Louis Park, MN, 55416-2734
person
Provider Profile Details
NPI Number
1407210784
Provider Name
Daniela Alejandra Bonilla Bermudez
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
6200 Excelsior Blvd Ste 203, St Louis Park, MN, 55416-2734
Phone Number
952-548-9354
Fax Number
952-925-3264
Provider Enumeration Date
04/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6200 Excelsior Blvd Ste 203
City
State
Zip
55416-2734
Phone Number
952-548-9354
Fax Number
952-925-3264
person
Provider Business Mailing Address Details
Address
6200 Excelsior Blvd Ste 203
City
State
Zip
55416-2734
Phone Number
952-548-9354
Fax Number
952-925-3264
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
304119 (Minnesota)
Definition
Definition to come...
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