Bonny G Frescura Gutierrez, LMFT is a
Marriage & Family Therapist based in Saint Johns, Florida. Bonny G Frescura Gutierrez is licensed to practice in Florida (license number MT5288) and her current practice location is
75 Durbin Station Ct Ste 303, Saint Johns, Florida. She can be reached at her office (for appointments etc.) via phone at
(908) 509-1248.
NPI number for Bonny G Frescura Gutierrez is 1780210856 and her current mailing address is 841 Trellis Bay Dr, Saint Augustine, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780210856.
Healthcare Provider's Profile
| Full Name | Bonny G Frescura Gutierrez |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 75 Durbin Station Ct Ste 303, Saint Johns, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780210856
- Provider Enumeration Date: 03/20/2020
- Last Update Date: 06/04/2026
Medical Identifiers
Medical identifiers for Bonny G Frescura Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780210856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | MT5288 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bonny G Frescura Gutierrez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Bonny G Frescura Gutierrez, LMFT 841 Trellis Bay Dr, Saint Augustine, FL 32092-3231 Ph: (908) 509-1248 | Bonny G Frescura Gutierrez, LMFT 75 Durbin Station Ct Ste 303, Saint Johns, FL 32259-9368 Ph: (908) 509-1248 |
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