MS. Kim Bonaccorso

NPI #1093174336 in Santa Ana, California

Provider Information

NPI Number: 1093174336
Entity Type: Individual
Name: MS. Kim Bonaccorso
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Feb 15, 2016
Last Updated: Feb 15, 2016

Practice Location

Address: 2100 N BROADWAY
Address 2: 101
City: Santa Ana
State: California
ZIP Code: 92706-2624
Phone: (714) 245-6881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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