Individual
ADRIANA BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
410 HIDDEN TRAILS RD, ESCONDIDO, CA 92027-5333
(760) 291-2257
(760) 741-7605
Mailing address
410 HIDDEN TRAILS RD, ESCONDIDO, CA 92027-5333
(760) 291-2257
(760) 741-7605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW94714
CA
1041S0200X
School Social Worker
Primary
LCSW94714
CA
251B00000X
Case Management Agency
LCSW94714
CO
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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