Individual provider · Type 1 NPI

Bonnie Shaffer

Counselor · Big Bear Lake, CA

NPI number 1386073583 Active

Practice location

40880 Pedder Rd.
Big Bear Lake, CA 92315

Fax (909) 366-0545

Mailing address

PO Box 578
Skyforest, CA 92385-0578

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XRI-S1307181042 (CA)

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 1386073583

Bonnie Shaffer's National Provider Identifier is 1386073583, issued on Nov 7, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Big Bear Lake, CA. The record was last updated on Nov 7, 2013.