JADE BOSTWICK

Counselor - Mental Health

Active Individual
NPI: 1336872407

Practice Address

182 SW ACADEMY ST
Dallas, OR 97338

Phone: (503) 623-9289

Specialties

Specialty Code Primary License
Counselor 101Y00000X No -
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1336872407 is the National Provider Identifier for JADE BOSTWICK, a Counselor - Mental Health provider located in Dallas, OR. This NPI was enumerated on July 6, 2022.
JADE BOSTWICK practices at 182 SW ACADEMY ST, Dallas, OR 97338.

Quick Facts

NPI
1336872407
Type
Individual
Enumerated
Jul 6, 2022
Last Updated
Oct 28, 2024

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