Individual provider · Type 1 NPI

Bruce Kevin Bothwell

Addiction (Substance Use Disorder) Counselor · San Francisco, CA

NPI number 1194231480 Active

Practice location

1111 Market St
San Francisco, CA 94103-1513

Mailing address

6701 Pinehaven Rd
Oakland, CA 94611-1013

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194231480

Bruce Kevin Bothwell's National Provider Identifier is 1194231480, issued on Dec 21, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Francisco, CA. The record was last updated on Dec 21, 2017.