Individual provider · Type 1 NPI

Jorge Bonilla Sr.

Mental Health Counselor · Bourbonnais, IL

NPI number 1801908363 Active

Practice location

1 University Ave
Bourbonnais, IL 60914-2345

Mailing address

1362 Argyle Ln S
Bourbonnais, IL 60914-5108

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180007901 (IL)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1801908363

Jorge Bonilla Sr.'s National Provider Identifier is 1801908363, issued on Aug 31, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bourbonnais, IL. The record was last updated on Sep 28, 2011.