Individual provider · Type 1 NPI

Shane Harold Bonella, M. COUN., LPC

Professional Counselor · Grants Pass, OR

NPI number 1255640835 Active

Practice location

1215 SW G St
Grants Pass, OR 97526-2544

Call (541) 476-2373 Map

Fax (541) 955-7444

Mailing address

1545 Harbeck Rd
Grants Pass, OR 97527-5605

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC2795 (OR)

Professional Counselor: Definition to come...

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About NPI 1255640835

Shane Harold Bonella, M. COUN., LPC's National Provider Identifier is 1255640835, issued on Sep 30, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grants Pass, OR. The record was last updated on Feb 7, 2024.