Individual
BRYCE CALEB BONILLA-HAENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
14140 BEACH BLVD STE 223, WESTMINSTER, CA 92683-4453
(714) 896-7566
Mailing address
14140 BEACH BLVD STE 223, WESTMINSTER, CA 92683-4453
(714) 896-7566
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6905
CA
Other
Enumeration date
09/14/2011
Last updated
01/04/2024
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