Stephanie Bonilla, in Wilmington, CA - Counselor

Stephanie Bonilla, is a Counselor - Addiction (substance Use Disorder) based in Wilmington, California. Stephanie Bonilla is licensed to practice in * (Not Available) (license number ) and her current practice location is 1318 N Avalon Blvd, Wilmington, California. She can be reached at her office (for appointments etc.) via phone at (310) 549-2710.

NPI number for Stephanie Bonilla is 1316477250 and her current mailing address is 1318 N Avalon Blvd, Wilmington, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316477250.

Contact Information

	Stephanie Bonilla,
	1318 N Avalon Blvd, Wilmington, CA 90744-2639
	(310) 549-2710
	(310) 549-2715

Healthcare Provider's Profile

Full Name	Stephanie Bonilla
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	1318 N Avalon Blvd, Wilmington, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1316477250
Provider Enumeration Date: 06/13/2017
Last Update Date: 06/13/2017

Medical Identifiers

Medical identifiers for Stephanie Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316477250	NPI	-	NPPES
6197-R	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TA0400X	Psychologist - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Bonilla is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stephanie Bonilla, 1318 N Avalon Blvd, Wilmington, CA 90744-2639 Ph: (310) 549-2710	Stephanie Bonilla, 1318 N Avalon Blvd, Wilmington, CA 90744-2639 Ph: (310) 549-2710

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Stephanie Bonilla, - in Wilmington, CA