Individual
JACQUELINE MARILIN BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 SUPERIOR DR NW, ROCHESTER, MN 55901-1993
(612) 221-6144
Mailing address
3101 SUPERIOR DR NW, ROCHESTER, MN 55901-1993
(612) 221-6144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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