GEORGIA MARIE BRONSON CADC II
NPI 1275188328
Counselor - Addiction (Substance Use Disorder) in Eugene, OR
Active since August 06, 2019
About Georgia Marie Bronson Cadc Ii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEORGIA MARIE BRONSON CADC II (NPI 1275188328) is an individual addiction (substance use disorder) provider in Eugene, Oregon, licensed in Oregon (96-04-08) and active in the NPI registry since August 2019.
NPPES Registry Identity
NPI1275188328
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameGEORGIA MARIE BRONSONCredential: CADC II
Location Address4211 W 11TH AVEEugene, OR 97402-5435
Mailing Address4211 W 11th AveEugene, OR 97402-5435 · (541) 485-1577 · Fax (541) 242-2853
Phone(541) 485-1577
Fax(541) 242-2853
Sole ProprietorNo
Enumeration DateAugust 6, 2019
✔ NPI 1275188328 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 96-04-08
4211 W 11TH AVE, Eugene, OR 97402
Other Names 1
Professional Name (2)Georgia Bronson
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275188328, enumerated as an "individual" on August 06, 2019.
The provider is located at 4211 W 11TH AVE EUGENE, OR 97402 and the phone number is (541) 485-1577.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
