Individual provider · Type 1 NPI

Stephanie Bonilla

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1316477250 Active

Practice location

590 W 8th St
San Pedro, CA 90731-3120

Mailing address

1318 N Avalon Blvd
Wilmington, CA 90744-2639

Other practice locations

  • 1318 N Avalon Blvd, Wilmington, CA 90744-2639 · (310) 549-2710

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Psychologist 103TA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7561 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1316477250

Stephanie Bonilla's National Provider Identifier is 1316477250, issued on Jun 13, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Jun 3, 2025.