| Bonita Counseling Center | |
|
425 W. Bonita Ave., Ste 204 San Dimas CA 91773 | |
| (909) 592-4152 | |
| (909) 592-2912 |
| Full Name | Bonita Counseling Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 425 W. Bonita Ave., Ste 204, San Dimas, California |
| Authorized Official Name and Position | Michael Edward Mcclary (THERAPIST/PARTNER) |
| Authorized Official Contact | 6266950425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonita Counseling Center 425 W. Bonita Ave., Ste 204 San Dimas CA 91773 Ph: (909) 592-4152 | Bonita Counseling Center 425 W. Bonita Ave., Ste 204 San Dimas CA 91773 Ph: (909) 592-4152 |
| NPI Number | 1114533114 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 09/16/2020 |
| Certification Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114533114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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