Organization
BONITA THERAPY AND CONSULTING INC
Active
Organization
BONITA THERAPY AND CONSULTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN R CUEVAS (CO-OWNER)
(619) 876-8850
Entity
Organization
Contact information
Practice address
3065 BEYER BLVD STE B-103, SAN DIEGO, CA 92154-3499
(619) 271-7748
(619) 271-7982
Mailing address
3065 BEYER BLVD STE B-103, SAN DIEGO, CA 92154-3499
(619) 271-7748
(619) 271-7982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11891084695
ERIK SANCHEZ, LCSW
CA
01
—
1275653966
LUIS CONTRERAS, LCSW
CA
Enumeration date
10/17/2018
Last updated
03/06/2020
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