Bonser, Shad

Bonser, Shad is an individual health care provider with primary practice located at 1408 12Th Ave , Longview WA 98632-3822. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Bonser, Shad can be contacted via phone (360) 998-3050.

Contact Information

Primary practice address
1408 12Th Ave Longview WA 98632-3822
Phone: (360) 998-3050
Fax: (360) 200-6736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 61411913 Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X 61411913 Washington

Profile Details

NPI number 1124728506
LBN Legal business name Bonser, Shad
Credentials AAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2023
Last updated Mar 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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