person
Brian Adam Bonilla, LADC,LPC
Professional Counselor in New Haven, Connecticut
NPI 1679112569

Brian Adam Bonilla is a Professional Counselor based in New Haven, CT and is specialized in Professional. Brian Adam Bonilla practices in New Haven, CT and has the professional credentials of LADC,LPC. The NPI Number for Brian Adam Bonilla is 1679112569 and holds a License No. 1359 (Connecticut).

The current practice location address for Brian Adam Bonilla is 1 Long Wharf Dr Ste 321, New Haven, CT and can be reached out via phone at 203-781-4600 and via fax at 203-781-4624.

Location: 1 Long Wharf Dr Ste 321, New Haven, CT, 06511-5946
person
Provider Profile Details
NPI Number
1679112569
Provider Name
Brian Adam Bonilla
Credential
LADC,LPC
Provider Entity Type
Individual
Gender
Male
Address
1 Long Wharf Dr Ste 321, New Haven, CT, 06511-5946
Phone Number
203-781-4600
Fax Number
203-781-4624
Provider Enumeration Date
12/26/2019
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
008092656 05 CT
004041000 05 CT
008003745 05 CT
institution
Provider Business Practice Location Address Details
Address
1 Long Wharf Dr Ste 321
City
State
Zip
06511-5946
Phone Number
203-781-4600
Fax Number
203-781-4624
person
Provider Business Mailing Address Details
Address
1 Long Wharf Dr Ste 321
City
State
Zip
06511-5946
Phone Number
203-781-4600
Fax Number
203-781-4624
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5365 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1359 (Connecticut)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.