JAIMIE BROADHEAD

Counselor - Professional

Active Individual
NPI: 1912322496

Practice Address

261 E 12TH AVE # 200
Eugene, OR 97401

Phone: (541) 900-4285

Specialties

Specialty Code Primary License
Counselor 101Y00000X No -
Counselor - Addiction (Substance Use Disorder) 101YA0400X No -
Counselor - Professional 101YP2500X Yes C10042 (OR)

Frequently Asked Questions

NPI 1912322496 is the National Provider Identifier for JAIMIE BROADHEAD, a Counselor - Professional provider located in Eugene, OR. This NPI was enumerated on February 20, 2014.
JAIMIE BROADHEAD practices at 261 E 12TH AVE # 200, Eugene, OR 97401.

Quick Facts

NPI
1912322496
Type
Individual
Enumerated
Feb 20, 2014
Last Updated
Jun 2, 2025

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