CARLY ALISSA BONNELL M.S.W. NPI 1356622096

NPI Information

NPI: 1356622096
Provider Name: CARLY ALISSA BONNELL, M.S.W.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
9500 GILMAN DR DEPT 680
LA JOLLA, CA
ZIP 92093
Phone: (858) 534-2812
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Carly Alissa Bonnell, M.S.W. is a mental health counselor in La Jolla, CA. Carly Alissa Bonnell, M.S.W. NPI is 1356622096. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9500 GILMAN DR DEPT 680
LA JOLLA, CA
ZIP 92093-680
Phone: (858) 534-2812

The enumeration date for this NPI number is 9/8/2011 and was last updated on 3/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	101YP2500X	Counselor	Professional			No
3	101YM0800X	Counselor	Mental Health	ASW61140	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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