Individual
MRS. PAMELA ANN BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-21205
Contact information
Practice address
3200 N. DOBSON RD., SUITE D3, PHOENIX, AZ 85014-8501
(480) 420-7514
Mailing address
651 N VAL VISTA RD, APACHE JUNCTION, AZ 85119-8643
(148) 081-8709
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-21205
AZ
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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