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Stephanie Bonilla

Addiction Counselor (Substance Use Disorder) Addiction Psychologist (Substance Use Disorder)

1318 N Avalon Blvd
Wilmington , California 90744-2639

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Addiction Counselor (Substance Use Disorder)
  • Addiction Psychologist (Substance Use Disorder)

Languages spoken

  • English

Location

1318 N Avalon Blvd Wilmington , California 90744-2639

First Address

  • Stephanie Bonilla
  • 1318 N Avalon Blvd
  • Wilmington, CA
  • Zip : 90744-2639
  • Fax : (310) 549-2715
  • Phone : (310) 549-2710

Second Address

  • Stephanie Bonilla
  • 1318 N Avalon Blvd
  • Wilmington, CA
  • Zip : 90744-2639
  • Fax : (310) 549-2715
  • Phone : (310) 549-2710

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FAQs


Where did Stephanie Bonilla attend graduate school?

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Where did Stephanie Bonilla do her residency?

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Where did Stephanie Bonilla do her fellowship?

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Is Stephanie Bonilla board certified?

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What type of doctor is Stephanie Bonilla

Addiction Counselor (Substance Use Disorder)

In what state does Stephanie Bonilla practice in?

California

Where is Stephanie Bonilla ’s practice located?

1318 N Avalon Blvd , Wilmington, California, 90744-2639

What is Stephanie Bonilla ’s gender?

Female

Is Stephanie Bonilla a sole practitioner?

No

Is Stephanie Bonilla accepting new patients?

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What languages does Stephanie Bonilla speak?

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Does Stephanie Bonilla accept insurance?

Yes, Stephanie Bonilla accepts insurance

Does Stephanie Bonilla offers telemedicine?

Stephanie Bonilla has not indicated if she offers telemedicine

What is Stephanie Bonilla ’s professional license number?

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What is Stephanie Bonilla ’s NPI number?

1316477250

Does Stephanie Bonilla have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 101YA0400X Addiction Counselor (Substance Use Disorder)
N 103TA0400X Addiction Psychologist (Substance Use Disorder)

National Provider Identifier

NPI 1316477250
Provider Name Stephanie Bonilla
First Address Wilmington, CA 90744-2639
Second Address Wilmington, CA 90744-2639
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 13/06/2017
Last Update Date 13/06/2017

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
6197-R (05) CA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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