Individual
JAMIE B BAUROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 JUSTICE LN, BUNNELL, FL 32110-4487
(386) 254-1118
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
28573
FL
Other
Enumeration date
10/03/2024
Last updated
11/16/2025
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