Individual provider · Type 1 NPI

Joseph Bonnell, LPC, CADC 3

Professional Counselor · Portland, OR

NPI number 1750774048 Active

Practice location

1132 SW 13th Ave
Portland, OR 97205-1703

Other practice locations

  • 13108 NE Schuyler St, Portland, OR 97230-2244 · (405) 370-4502

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X15-05-06 (OR)
Professional Counselor Primary 101YP2500XC5095 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400X18-02-29 (OR)
Case Manager/Care Coordinator 171M00000XNone listed

Professional Counselor: Definition to come...

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About NPI 1750774048

Joseph Bonnell, LPC, CADC 3's National Provider Identifier is 1750774048, issued on Mar 10, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Jan 14, 2023.