NPI 1043754682

Sergio Bonilla

Practitioner Clinical Social Worker Fpo, AP

Practice location

Address: U.S. Nmrtc Yokosuka, Fpo, AP 96350
Phone: (315) 243-9224
Mailing address: 2345 Fen View Cir, Island Lake, IL 60042-8822

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence SW13997 (FL)

Other Social Worker providers in Armed Forces Pacific →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 149026857 (IL)

Registry record

NPI: 1043754682
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2016
Record last updated: 6 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.