Individual
EMMA REAL BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
119 E OGDEN AVE STE 200B, HINSDALE, IL 60521-3590
(312) 620-0546
Mailing address
119 E OGDEN AVE STE 200B, HINSDALE, IL 60521-3590
(312) 620-0546
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.015519
IL
101YP2500X
Professional Counselor
Primary
180.014199
IL
Other
Enumeration date
02/24/2020
Last updated
06/02/2024
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