Individual provider · Type 1 NPI

Edickson Bonilla, MA

Mental Health Counselor · Philadelphia, PA

NPI number 1649450131 Active

Practice location

2927 N 5th St
Philadelphia, PA 19133-2800

Call (484) 221-9136 Map

Fax (484) 221-9130

Mailing address

2030 W Tilghman St, Suite 105B
Allentown, PA 18104-4354

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1649450131

Edickson Bonilla, MA's National Provider Identifier is 1649450131, issued on Nov 13, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 13, 2007.