Individual provider · Type 1 NPI
Courtney Dyan Bonilla, LPC
Professional Counselor · Charlottesville, VA
NPI number
1477011872
Active
Practice location
633 Berkmar Circle
Charlottesville, VA 22901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701008115 (VA) |
Professional Counselor: Definition to come...
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About NPI 1477011872
Courtney Dyan Bonilla, LPC's National Provider Identifier is 1477011872, issued on Mar 5, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charlottesville, VA. The record was last updated on Mar 16, 2020.