Individual
BONNIE SUZANNE GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1742 OREGON ST, REDDING, CA 96001-1717
(530) 646-7269
Mailing address
2165 LARKSPUR LN, REDDING, CA 96002-0600
(530) 226-7419
(530) 338-1266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW70896
CA
1041C0700X
Clinical Social Worker
Primary
LCSW112539
CA
Other
Enumeration date
06/10/2021
Last updated
05/24/2024
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