Individual provider · Type 1 NPI
Daniela Alejandra Bonilla Bermudez, LADC
Addiction (Substance Use Disorder) Counselor · St. Louis Park, MN
NPI number
1407210784
Active
Practice location
6200 Excelsior Blvd Ste 203
St. Louis Park, MN 55416-2734
Fax (952) 925-3264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 304119 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1407210784
Daniela Alejandra Bonilla Bermudez, LADC's National Provider Identifier is 1407210784, issued on Apr 12, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Louis Park, MN. The record was last updated on Apr 12, 2016.