Active NPIIndividual provider

Georgia M Bronson, CADC II

Counselor, Addiction (Substance Use Disorder) in Eugene, Oregon

NPI Number1275188328
Practice location
4211 W 11TH Ave, Eugene, OR 97402-5435
Fax
541-242-2853
Last updated
August 6, 2019

Georgia M Bronson, CADC II is a Counselor, Addiction (Substance Use Disorder) based in Eugene, OR. Georgia M Bronson, CADC II holds the professional credentials of CADC II. The NPI number for Georgia M Bronson, CADC II is 1275188328 and holds license No. 96-04-08 (OR). The current practice location address is 4211 W 11TH Ave, Eugene, OR 97402-5435 and the office can be reached by phone at 541-485-1577 and by fax at 541-242-2853. The NPI was assigned on August 6, 2019 and the record was last updated in NPPES on August 6, 2019.

●Provider Profile Details

NPI Number
1275188328
Provider Name
Georgia Marie Bronson
Credential
CADC II
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Enumeration Date
August 6, 2019
Last Update Date
August 6, 2019
NPI Status
Active
Other Names
Georgia Bronson (Professional Name)

◉Business Practice Location Address

Address
4211 W 11TH Ave
Eugene, OR 97402-5435
City
Eugene
State
Oregon
ZIP
97402-5435
Country
US
Phone Number
541-485-1577
Fax Number
541-242-2853

Get directions →

✉Business Mailing Address

Address
4211 W 11TH Ave
Eugene, OR 97402-5435
City
Eugene
State
OR
ZIP
97402-5435
Phone Number
541-485-1577
Fax Number
541-242-2853

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Addiction (Substance Use Disorder)101YA0400XYes96-04-08OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Georgia M Bronson, CADC II?

The NPI number of Georgia M Bronson, CADC II is 1275188328. It was assigned on August 6, 2019 and is currently active in the NPPES registry.

What is the specialty of Georgia M Bronson, CADC II?

Georgia M Bronson, CADC II is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X) and holds license No. 96-04-08 (OR).

Where does Georgia M Bronson, CADC II practice?

The practice location is 4211 W 11TH Ave, Eugene, OR 97402-5435. The office can be reached at 541-485-1577 (phone) or 541-242-2853 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275188328 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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