Provider Demographics
NPI:1992109219
Name:MONFILS, BONNIE L (LMFT 108059)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:L
Last Name:MONFILS
Suffix:
Gender:F
Credentials:LMFT 108059
Other - Prefix:
Other - First Name:BONNIE
Other - Middle Name:L
Other - Last Name:MARKOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2560 N PERRIS BLVD STE N192571
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92571-3254
Mailing Address - Country:US
Mailing Address - Phone:951-940-6755
Mailing Address - Fax:
Practice Address - Street 1:2560 N PERRIS BLVD STE N1
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92571-3251
Practice Address - Country:US
Practice Address - Phone:951-940-6755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-15
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108059106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist