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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 28573 (FL) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Bunnell
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.