Active NPIIndividual providerSole proprietor

Kristin M Bonilla, LADC AADC

Counselor, Addiction (Substance Use Disorder) in Hamden, Connecticut

NPI Number1558926766
Practice location
6 Costanzo CT, Hamden, CT 06518-2464
Fax
—
Last updated
May 2, 2019

Kristin M Bonilla is a Counselor, Addiction (Substance Use Disorder) based in Hamden, CT. Kristin M Bonilla practices in Hamden, CT and has the professional credentials of LADC AADC. The NPI Number for Kristin M Bonilla is 1558926766 and holds a License No. 000035 (CT). The current practice location address for Kristin M Bonilla is 6 Costanzo CT, Hamden, CT 06518-2464 and can be reached out via phone at 203-556-4969.

Provider Profile Details

NPI Number
1558926766
Provider Name
Kristin M Bonilla
Credential
LADC AADC
Provider Entity Type
Individual
Gender
Female
Address
6 Costanzo CT, Hamden, CT 06518-2464
Phone Number
203-556-4969
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
May 2, 2019
Last Update Date
May 2, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Costanzo CT
Hamden, CT 06518-2464
City
Hamden
Zip
06518-2464
Phone Number
203-556-4969
Hamden, CT 06518Get directions →

Provider Business Mailing Address Details

Address
6 Costanzo CT
Hamden, CT 06518-2464
City
Hamden
State
CT
Zip
06518-2464
Phone Number
203-556-4969

License Information

License Number
000035
License State
CT
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristin M Bonilla, LADC AADC?

The NPI number of Kristin M Bonilla, LADC AADC is 1558926766. It was assigned on May 2, 2019 and is currently active in the NPPES registry.

What is the specialty of Kristin M Bonilla, LADC AADC?

Kristin M Bonilla, LADC AADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 000035.

Where does Kristin M Bonilla, LADC AADC practice?

The practice location is 6 Costanzo CT, Hamden, CT 06518-2464. The office can be reached at 203-556-4969 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558926766 directly on the NPPES registry website.

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