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Individual

HEIDI KATHLEEN BONILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
4851 INDEPENDENCE ST, SUITE 200, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
(303) 432-5071
Mailing address
88 INVERNESS CIR E STE 103, ENGLEWOOD, CO 80112-5304
(720) 583-9332
(720) 213-4084

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCC.0014847
CO
101YM0800X
Mental Health Counselor
LPCC.0014847
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891243572
CO
Enumeration date
09/12/2016
Last updated
03/19/2019
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