Individual provider · Type 1 NPI

Jade M. Bostwick

Mental Health Counselor · Dallas, OR

NPI number 1336872407 Active

Practice location

182 SW Academy St
Dallas, OR 97338-1996

Call (503) 623-9289 Map

Mailing address

4274 Pauline Ave SE
Salem, OR 97302-5739

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1336872407

Jade M. Bostwick's National Provider Identifier is 1336872407, issued on Jul 6, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, OR. The record was last updated on Oct 28, 2024.