Organization
KRISTIN BONILLA NEW HOPE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN MARIE BONILLA MS, LADC, CCS, AADC (OWNER)
(475) 209-1835
Entity
Organization
Contact information
Practice address
3208 WHITNEY AVE, HAMDEN, CT 06518-2158
(475) 209-1835
Mailing address
6 COSTANZO CT, HAMDEN, CT 06518-2464
(407) 209-1835
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008086906
AVRS WEB USER ID
CT
05
—
15558926766
—
CT
Enumeration date
09/13/2019
Last updated
09/13/2019
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