Individual provider · Type 1 NPI

Jolena Bakanoff

Addiction (Substance Use Disorder) Counselor · Eugene, OR

NPI number 1376465922 Active

Practice location

1040 Oak St
Eugene, OR 97401-3132

Mailing address

78 Centennial Loop Ste A
Eugene, OR 97401-7900

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1376465922

Jolena Bakanoff's National Provider Identifier is 1376465922, issued on Jul 27, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eugene, OR. The record was last updated on Jul 27, 2026.