Bonnell, Carly Alissa

Bonnell, Carly Alissa is an individual health care provider with primary practice located at 9500 Gilman Dr Dept 680 , La Jolla CA 92093-0680. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bonnell, Carly Alissa can be contacted via phone (858) 534-2812.

Contact Information

Primary practice address
9500 Gilman Dr Dept 680 La Jolla CA 92093-0680
Phone: (858) 534-2812
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW61140 California

Profile Details

NPI number 1356622096
LBN Legal business name Bonnell, Carly Alissa
Credentials M.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2011
Last updated Mar 7th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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