Bonita Rae Nelson L.M.F.T.

NPI 1285909986 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1285909986
Gender Female
Enumeration Date 03/13/2012
Last Updated 03/13/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
12316 VENICE BLVD
LOS ANGELES CA, 90066-3802, US
Phone (310) 402-2229
Fax (310) 390-3955
Business Location
16169 W SUNSET BLVD
203
PACIFIC PALISADES CA, 90272-3455, US
Phone (310) 230-2937
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC 50542
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According to our database, Bonita Rae Nelson L.M.F.T. NPI is 1285909986, taxonomy code is 106H00000X and license number is MFC 50542, license state is located at California. Bonita Rae Nelson L.M.F.T. physically located at 12316 Venice Blvd, Los Angeles CA, 90066-3802. NPI Number Bonita Rae Nelson L.M.F.T. has the Individual type.

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1285909986 NPI number is provided on an as is basis without warranty of any kind. 1285909986 is maintained by the National Plan & Provider Enumeration System. The contents of Bonita Rae Nelson L.M.F.T. are for informational purposes only.