Individual provider · Type 1 NPI
Amy Bonillas, SUDCC III
Student in an Organized Health Care Education/Training Program · Los Banos, CA
NPI number
1043693302
Active
Practice location
40 W G St Bldg 2
Los Banos, CA 93635-3657
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 8117 (CA) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Los Banos
About NPI 1043693302
Amy Bonillas, SUDCC III's National Provider Identifier is 1043693302, issued on Jul 6, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Banos, CA. The record was last updated on Mar 4, 2025.