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Mr. Dean Louis Bonanno
Mental Health Counselor in Prineville, Oregon
NPI 1205101730

Dean Louis Bonanno is a Mental Health Counselor based in Prineville, OR and is specialized in Mental Health. Dean Louis Bonanno practices in Prineville, OR. The NPI Number for Dean Louis Bonanno is 1205101730 and holds a License No. (Oregon).

The current practice location address for Dean Louis Bonanno is 365 Ne Court St, Prineville, OR and can be reached out via phone at 541-323-5330.

Location: 365 Ne Court St, Prineville, OR, 97754-1936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205101730
Provider Name
Dean Louis Bonanno
Credential
Provider Entity Type
Individual
Gender
Male
Address
365 Ne Court St, Prineville, OR, 97754-1936
Phone Number
541-323-5330
Fax Number
Provider Enumeration Date
03/16/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
365 Ne Court St
City
Prineville
State
Oregon
Zip
97754-1936
Phone Number
541-323-5330
Fax Number
person
Provider Business Mailing Address Details
Address
365 Ne Court St
City
Prineville
State
Oregon
Zip
97754-1936
Phone Number
541-323-5330
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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