Jason Bavilla

NPI #1962045757 in Bethel, Alaska

Provider Information

NPI Number
1962045757
Entity Type
Individual
Name
Jason Bavilla
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Oct 24, 2019
Last Updated
Oct 24, 2019

Practice Location

Address
829 CHIEF EDDIE HOFFMAN HWY
City
Bethel
State
Alaska
ZIP Code
99559-0528
Phone
(907) 543-6100

Specialties & Taxonomy Codes

Specialty
Counselor

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