Doctor Name: | MARCI FOX-BONILLA |
NPI Number: | 1114197548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 0110631 |
Business Practice Address: | 7027 Montgomery Blvd Ne Ste F Albuquerque, NM - 871091529 |
Business Phone Number: | 5058800100 |
Business Fax Number: | 5058800102 |
Mailing Address: | 7027 Montgomery Blvd Ne Ste F, ALBUQUERQUE |
State: | NM |
Postal Code: | 871091529 |
Phone Number: | 5058800100 |
Fax Number: | 5058800102 |
NPI Enumeration Date: | 02/29/2008 |
NPI Last Update Date: | 02/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0110631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |