Individual
BIANCA E. GOLONDRINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12330 FAIRLAWN DR, RIVERVIEW, FL 33579-3906
(310) 463-8115
Mailing address
12330 FAIRLAWN DR, RIVERVIEW, FL 33579-3906
(310) 463-8115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
80366
CA
101YP2500X
Professional Counselor
80366
CA
104100000X
Social Worker
80366
CA
1041C0700X
Clinical Social Worker
Primary
80366
CA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
80366
CA
Other
Enumeration date
10/11/2006
Last updated
08/08/2024
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