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Individual
JOHN DAVID BAYSE
Active
Individual
JOHN DAVID BAYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO61508302
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61508302
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/08/2020
Last updated
04/11/2024
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