person
Judith Anallely Bonilla Lopez
Mental Health Counselor in Fontana, California
NPI 1972047645

Judith Anallely Bonilla Lopez is a Mental Health Counselor based in Fontana, CA and is specialized in Mental Health. Judith Anallely Bonilla Lopez practices in Fontana, CA. The NPI Number for Judith Anallely Bonilla Lopez is 1972047645 and holds a License No. 63986 (California).

The current practice location address for Judith Anallely Bonilla Lopez is 17216 Slover Ave, Fontana, CA and can be reached out via phone at 909-854-3431 and via fax at 909-428-8437.

Location: 17216 Slover Ave, Fontana, CA, 92337-7580
person
Provider Profile Details
NPI Number
1972047645
Provider Name
Judith Anallely Bonilla Lopez
Credential
Provider Entity Type
Individual
Gender
Female
Address
17216 Slover Ave, Fontana, CA, 92337-7580
Phone Number
909-854-3431
Fax Number
909-428-8437
Provider Enumeration Date
12/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17216 Slover Ave
City
State
Zip
92337-7580
Phone Number
909-854-3431
Fax Number
909-428-8437
person
Provider Business Mailing Address Details
Address
17216 Slover Ave
City
State
Zip
92337-7580
Phone Number
909-854-3431
Fax Number
909-428-8437
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
63986 (California)
Definition
Definition to come...
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