# BONITA COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114533114
- **Authorized official:** MR. MICHAEL EDWARD MCCLARY LMFT (THERAPIST/PARTNER)
- **Authorized official phone:** (626) 695-0425

## Contact information

- **Practice address:** 425 W. BONITA AVE., STE 204, SAN DIMAS, CA 91773
- **Practice address phone:** (909) 592-4152
- **Practice address fax:** (909) 592-2912
- **Mailing address:** 425 W. BONITA AVE., STE 204, SAN DIMAS, CA 91773
- **Mailing address phone:** (909) 592-4152
- **Mailing address fax:** (909) 592-2912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2020
- **Last updated:** 09/16/2020