Individual
MRS. AMY BONILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDCC III
Contact information
Practice address
40 W G ST BLDG 2, LOS BANOS, CA 93635-3657
(209) 710-6110
Mailing address
40 W G ST BLDG 2, LOS BANOS, CA 93635-3657
(209) 710-6110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
8117
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/06/2015
Last updated
03/04/2025
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