Individual provider · Type 1 NPI

Vanessa Bonilla, LAC

Mental Health Counselor · Hackensack, NJ

NPI number 1073204061 Active

Practice location

25 E Salem St
Hackensack, NJ 07601-7427

Call (201) 933-8508 Map

Mailing address

619 Schuyler Ave Apt 102
Lyndhurst, NJ 07071-2928

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00468200 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1073204061

Vanessa Bonilla, LAC's National Provider Identifier is 1073204061, issued on May 19, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hackensack, NJ. The record was last updated on May 19, 2023.