Diane Bonilla, LPC

NPI #1407862857 in Annandale, Virginia

Provider Information

NPI Number
1407862857
Entity Type
Individual
Name
Diane Bonilla, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Jul 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
5045 BACKLICK ROAD
ZIP Code
22003
Phone
(703) 914-1082

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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