Bonita Rae Nelson, L.M.F.T.
Marriage & Family Therapist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1285909986
StatusActive
Last updated in NPPESMar 13, 2012
Details
- NPI
- 1285909986
- Entity type
- Individual (NPI-1)
- Name
- Bonita Rae Nelson
- Credential
- L.M.F.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2012
- Last updated
- Mar 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC 50542 | CA | Yes |
Other names
- Bonnie Nelson (Other Name)
Practice location
12316 Venice BlvdLos Angeles, CA 90066-3802
Phone 310-402-2229 · Fax 310-390-3955
Mailing address
16169 W Sunset Blvd203
Pacific Palisades, CA 90272-3455
Phone 310-230-2937
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