Individual provider · Type 1 NPI

Kelly James Bonewell, PhD, LPC

Professional Counselor · Grand Rapids, MI

NPI number 1013931872 Active

Practice location

977 Ada Place Dr SE
Grand Rapids, MI 49546-8412

Call (616) 460-3341 Map

Mailing address

3721 Dursum Ave NE
Ada, MI 49301-9718

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401008653 (MI)

Professional Counselor: Definition to come...

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About NPI 1013931872

Kelly James Bonewell, PhD, LPC's National Provider Identifier is 1013931872, issued on Jul 26, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on May 11, 2020.