Individual
JOHN DAVID BAYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO61508302
Contact information
Practice address
500 SE WASHINGTON AVE, CHEHALIS, WA 98532-3058
(253) 284-9041
Mailing address
500 SE WASHINGTON AVE, CHEHALIS, WA 98532-3058
(360) 748-4776
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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