Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shad Bonser, AAC

Individual provider Peer Specialist · NPI 1124728506

Shad Bonser, AAC is a Peer Specialist in Longview, Washington. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1408 12th Ave
Longview, WA 98632-3822
Phone: (360) 998-3050
Fax: (360) 200-6736
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 61411913 (WA)
Peer Specialist Taxonomy 175T00000X · Licence 61411913 (WA)

Record details

NPI number1124728506
Entity typeIndividual (Type 1)
GenderMale
Credentials AAC
Sole proprietorNo
NPI enumeratedMarch 6, 2023
Last updated in NPPESMarch 6, 2023
Certification dateMarch 6, 2023
Mailing addressPo Box 2394, Longview, WA 98632-8455

Other providers in Longview