person
Diane Bonilla, LPC
Professional Counselor in Annandale, Virginia
NPI 1407862857

Diane Bonilla is a Professional Counselor based in Alexandria, VA and is specialized in Professional. Diane Bonilla practices in Annandale, VA and has the professional credentials of LPC. The NPI Number for Diane Bonilla is 1407862857 and holds a License No. 0701002334 (Virginia).

The current practice location address for Diane Bonilla is 5045 Backlick Road, Annandale, VA and can be reached out via phone at 703-914-1082.

Location: 5045 Backlick Road, Annandale, VA, 22302-2724
person
Provider Profile Details
NPI Number
1407862857
Provider Name
Diane Bonilla
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
5045 Backlick Road, Annandale, VA, 22302-2724
Phone Number
703-914-1082
Fax Number
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5045 Backlick Road
City
State
Zip
22003
Phone Number
703-914-1082
Fax Number
person
Provider Business Mailing Address Details
Address
5045 Backlick Road
City
State
Zip
22003
Phone Number
703-914-1082
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701002334 (Virginia)
Definition
Definition to come...
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