Individual
MRS. COURTNEY DYAN BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
633 BERKMAR CIRCLE, CHARLOTTESVILLE, VA 22901
(434) 305-6731
Mailing address
633 BERKMAR CIRCLE, CHARLOTTESVILLE, VA 22901
(434) 305-6731
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008115
VA
Other
Enumeration date
03/05/2019
Last updated
03/16/2020
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