JACQUELINE MARILIN BONILLA
NPI 1033840921
Counselor - Mental Health in Rochester, MN
Active since June 21, 2022
About Jacqueline Marilin Bonilla NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE MARILIN BONILLA (NPI 1033840921) is an individual mental health provider in Rochester, Minnesota and active in the NPI registry since June 2022.
NPPES Registry Identity
NPI1033840921
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE MARILIN BONILLA
Location Address3101 SUPERIOR DR NWRochester, MN 55901-1993
Mailing Address3101 Superior Dr NwRochester, MN 55901-1993 · (612) 221-6144
Phone(612) 221-6144
Sole ProprietorNo
Enumeration DateJune 21, 2022
NPPES CertifiedSeptember 7, 2021
✔ NPI 1033840921 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3101 SUPERIOR DR NW, Rochester, MN 55901
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinical Nurse Specialist (Psychiatric/Mental Health)
3101 SUPERIOR DR NW
ROCHESTER, MN 55901
ROCHESTER, MN 55901
Psychologist (Group Psychotherapy)
3101 SUPERIOR DR NW
ROCHESTER, MN 55901
ROCHESTER, MN 55901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033840921, enumerated as an "individual" on June 21, 2022.
The provider is located at 3101 SUPERIOR DR NW ROCHESTER, MN 55901 and the phone number is (612) 221-6144.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.