Individual provider · Type 1 NPI

Judith Anallely Bonilla Lopez

Mental Health Counselor · Fontana, CA

NPI number 1972047645 Active

Practice location

17216 Slover Ave
Fontana, CA 92337-7580

Fax (909) 428-8437

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X63986 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1972047645

Judith Anallely Bonilla Lopez's National Provider Identifier is 1972047645, issued on Dec 14, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fontana, CA. The record was last updated on Dec 27, 2016.