person
Mr. Shane Harold Bonella, MCOUN,LPC
Professional Counselor in Grants Pass, Oregon
NPI 1255640835

Shane Harold Bonella is a Professional Counselor based in Grants Pass, OR and is specialized in Professional. Shane Harold Bonella practices in Grants Pass, OR and has the professional credentials of MCOUN,LPC. The NPI Number for Shane Harold Bonella is 1255640835 and holds a License No. C2795 (Oregon).

The current practice location address for Shane Harold Bonella is 1215 Sw G St, Grants Pass, OR and can be reached out via phone at 541-476-2373 and via fax at 541-955-7444. You can also correspond with Shane Harold Bonella through the mailing address at 1545 HARBECK RD, GRANTS PASS, OR - 97527-5605 (mailing address contact number: 541-476-2373).

Location: 1215 Sw G St, Grants Pass, OR, 97527-5605
person
Provider Profile Details
NPI Number
1255640835
Provider Name
Shane Harold Bonella
Credential
MCOUN,LPC
Provider Entity Type
Individual
Gender
Male
Address
1215 Sw G St, Grants Pass, OR, 97527-5605
Phone Number
541-476-2373
Fax Number
541-955-7444
Provider Enumeration Date
09/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1215 Sw G St
City
State
Zip
97526-2544
Phone Number
541-476-2373
Fax Number
541-955-7444
person
Provider Business Mailing Address Details
Address
1215 Sw G St
City
State
Zip
97526-2544
Phone Number
541-476-2373
Fax Number
541-955-7444
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C2795 (Oregon)
Definition
Definition to come...
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