DIANE BONILLA

ANNANDALE, VA
NPI1407862857
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: VA  0701002334)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
-- DIANE BONILLA LPC
5045 BACKLICK ROAD
ANNANDALE, VA 22003
Phone number: 703-914-1082
Mailing Address
-- DIANE BONILLA LPC
1405 DOGWOOD DR
ALEXANDRIA, VA 22302-2724
Phone number: 703-578-0958