Individual provider · Type 1 NPI

Bonnie L. Sampson, LPT QMHA

Mental Health Counselor · Grants Pass, OR

NPI number 1114348018 Active

Practice location

1215 SW G. Street
Grants Pass, OR 97527-2544

Call (541) 476-2373 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114348018

Bonnie L. Sampson, LPT QMHA's National Provider Identifier is 1114348018, issued on Dec 18, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grants Pass, OR. The record was last updated on Dec 18, 2013.