Individual provider · Type 1 NPI

Sara Ines Bonilla, LMHC, CCM

Mental Health Counselor · Medford, MA

NPI number 1902956089 Active

Practice location

10 Cabot Rd Ste 205
Medford, MA 02155-5173

Call (781) 202-6524 Map

Mailing address

22 9th St Apt 104
Medford, MA 02155-5139

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XCCM4242685 (MA)
Mental Health Counselor Primary 101YM0800XLMHC7737 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1902956089

Sara Ines Bonilla, LMHC, CCM's National Provider Identifier is 1902956089, issued on Jan 11, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, MA. The record was last updated on Dec 16, 2024.