Individual provider · Type 1 NPI

Jose Alberto Bonilla Padilla, LMFT 164694

Marriage & Family Therapist · San Bernardino, CA

NPI number 1104202829 Active

Practice location

3972 N Waterman Ave Ste 104
San Bernardino, CA 92404-1767

Mailing address

3972 N Waterman Ave
San Bernardino, CA 92404-1700

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X164694 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1104202829

Jose Alberto Bonilla Padilla, LMFT 164694's National Provider Identifier is 1104202829, issued on Aug 4, 2015. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Bernardino, CA. The record was last updated on Aug 6, 2026.