Individual
LUIS RUBEN BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2229 W 16TH PL, YUMA, AZ 85364-5141
(928) 581-0185
Mailing address
2229 W 16TH PL, YUMA, AZ 85364-5141
(928) 581-0185
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-22781
AZ
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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