Individual
MISS CAMILLE LAGMAN BONIFACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
2703 E 7TH ST, LONG BEACH, CA 90804-4708
(562) 433-0454
(562) 433-0545
Mailing address
2703 E 7TH ST, LONG BEACH, CA 90804-4708
(562) 433-0454
(562) 433-0545
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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