Luigi Bonilla, Bianca Camille

Luigi Bonilla, Bianca Camille is an individual health care provider with primary practice located at 1536 N Jefferson St , Jacksonville FL 32209-6525. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Luigi Bonilla, Bianca Camille can be contacted via phone (904) 475-5800.

Contact Information

Primary practice address
1536 N Jefferson St Jacksonville FL 32209-6525
Phone: (904) 475-5800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 5478 Puerto Rico
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5478 Puerto Rico

Profile Details

NPI number 1245697192
LBN Legal business name Luigi Bonilla, Bianca Camille
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2016
Last updated Jan 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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