Individual provider · Type 1 NPI

Jamie B. Bauroth

Addiction (Substance Use Disorder) Counselor · Bunnell, FL

NPI number 1972322204 Active

Practice location

301 Justice Ln
Bunnell, FL 32110-4487

Mailing address

PO Box 748465
Atlanta, GA 30374-8465

Other practice locations

  • 4243 Sunbeam Rd Ste 6, Jacksonville, FL 32257-8975 · (904) 299-0184

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X28573 (FL)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1972322204

Jamie B. Bauroth's National Provider Identifier is 1972322204, issued on Oct 3, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bunnell, FL. The record was last updated on Nov 16, 2025.