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Jason Bavilla
Counselor in Bethel, Alaska
NPI 1962045757

Jason Bavilla is a Counselor based in Bethel, AK. Jason Bavilla practices in Bethel, AK. The NPI Number for Jason Bavilla is 1962045757 and holds a License No. (Alaska).

The current practice location address for Jason Bavilla is 829 Chief Eddie Hoffman Hwy, Bethel, AK and can be reached out via phone at 907-543-6100 and via fax at 907-543-6159.

Location: 829 Chief Eddie Hoffman Hwy, Bethel, AK, 99559-0528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962045757
Provider Name
Jason Bavilla
Credential
Provider Entity Type
Individual
Gender
Male
Address
829 Chief Eddie Hoffman Hwy, Bethel, AK, 99559-0528
Phone Number
907-543-6100
Fax Number
907-543-6159
Provider Enumeration Date
10/24/2019
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1020986 05 AK
institution
Provider Business Practice Location Address Details
Address
829 Chief Eddie Hoffman Hwy
City
Bethel
State
Alaska
Zip
99559-0528
Phone Number
907-543-6100
Fax Number
907-543-6159
person
Provider Business Mailing Address Details
Address
829 Chief Eddie Hoffman Hwy
City
Bethel
State
Alaska
Zip
99559-0528
Phone Number
907-543-6100
Fax Number
907-543-6159
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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829 Chief Eddie Hoffman Hwy,
BETHEL, AK
99559-0528
907-543-6100
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