Individual
ARLENE BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6829 SAN LUIS TRL, FORT WORTH, TX 76131-2871
(305) 588-9555
Mailing address
6829 SAN LUIS TRL, FORT WORTH, TX 76131-2871
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
79403
TX
101YM0800X
Mental Health Counselor
79403
TX
101YP2500X
Professional Counselor
Primary
79403
TX
101YS0200X
School Counselor
79403
TX
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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