Individual
GEORGIA MARIE BRONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
4211 W 11TH AVE, EUGENE, OR 97402-5435
(541) 485-1577
(541) 242-2853
Mailing address
4211 W 11TH AVE, EUGENE, OR 97402-5435
(541) 485-1577
(541) 242-2853
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
96-04-08
OR
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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