Daniela Alejandra Bonilla Bermudez, LADC
NPI #1407210784 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1407210784
- Entity Type
- Individual
- Name
- Daniela Alejandra Bonilla Bermudez, LADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC
- Enumeration Date
- Apr 12, 2016
- Last Updated
- Apr 12, 2016
Practice Location
- Address
- 6200 EXCELSIOR BLVD STE 203
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-2734
- Phone
- (952) 548-9354
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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