Individual
DAIZY BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
1200 W WALNUT ST STE 1400, ROGERS, AR 72756-3598
(479) 750-2020
(479) 750-8967
Mailing address
1200 W WALNUT ST STE 1400, ROGERS, AR 72756-3598
(479) 750-2020
(479) 750-8967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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