Individual
CARLOS EDUARDO BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1855 OLYMPIC BLVD, SUITE 225, WALNUT CREEK, CA 94596-5089
(925) 933-2627
Mailing address
1855 OLYMPIC BLVD, SUITE 225, WALNUT CREEK, CA 94596-5089
(925) 933-2627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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