Provider Demographics
NPI:1982850053
Name:BONIN-POOL, MONICA (MFT)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:BONIN-POOL
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27951 SMYTH DR STE 108
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-4049
Mailing Address - Country:US
Mailing Address - Phone:661-222-8072
Mailing Address - Fax:661-263-3898
Practice Address - Street 1:27951 SMYTH DR STE 108
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4049
Practice Address - Country:US
Practice Address - Phone:661-222-8072
Practice Address - Fax:661-263-3898
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC34646106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist