Individual
MS. ALICIA BONE BONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1586 KAMELA DR S, SALEM, OR 97306-2249
(503) 391-6823
Mailing address
1586 KAMELA DR S, SALEM, OR 97306-2249
(503) 391-6823
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1102
OR
Other
Enumeration date
02/18/2007
Last updated
07/08/2007
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