Individual provider · Type 1 NPI
Jovonnie Bashaw, B.S.
Addiction (Substance Use Disorder) Counselor · Springfield, OR
NPI number
1902275464
Active
Practice location
1157 5th St
Springfield, OR 97477
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 1902275464
Jovonnie Bashaw, B.S.'s National Provider Identifier is 1902275464, issued on Sep 15, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Springfield, OR. The record was last updated on Sep 15, 2015.