Individual provider · Type 1 NPI
Brianne Bavosa
Addiction (Substance Use Disorder) Counselor · Brick, NJ
NPI number
1114341955
Active
Practice location
35 Beaverson Blvd, Building 6
Brick, NJ 08723-7812
Fax (732) 262-0707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1114341955
Brianne Bavosa's National Provider Identifier is 1114341955, issued on Feb 14, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brick, NJ. The record was last updated on Feb 14, 2014.