Individual provider · Type 1 NPI

Shad Bonser, AAC

Counselor · Longview, WA

NPI number 1124728506 Active

Practice location

1408 12th Ave
Longview, WA 98632-3822

Call (360) 998-3050 Map

Fax (360) 200-6736

Mailing address

PO Box 2394
Longview, WA 98632-8455

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000X61411913 (WA)
Counselor Primary 101Y00000X61411913 (WA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1124728506

Shad Bonser, AAC's National Provider Identifier is 1124728506, issued on Mar 6, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Longview, WA. The record was last updated on Mar 6, 2023.