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SHANE BONELLA, M. COUN., LPC
M. COUN., LPC
Professional Counselor
NPI: 1255640835IndividualAccepts Medicare
Specialties, Licenses & Credentials
Professional CounselorPrimary
Counselor — Professional
Code: 101YP2500X
C2795(OR)
CMS Specialties
PrimaryUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Education
OTHER
Class of 2008
Contact & Hours
- Address
- 1215 SW G ST
GRANTS PASS, OR 97526 - Phone
- (541) 476-2373
Quick Facts
- NPI
- 1255640835
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 18
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