MEDICARE: JAMES L BAKEHOUSE CAT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	ACA.0008202	CO

General Provider Information

NPI Number	:	1972432623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES L BAKEHOUSE CAT

Provider Business Mailing Address
First Line	:	2956 NORTH AVE STE 1
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81504-3919
Country	:	US
Telephone Number	:	970-208-1130
Fax Number	:	970-208-1132

Provider Business Practice Location Address
First Line	:	2956 NORTH AVE STE 1
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81504-3919
Country	:	US
Telephone Number	:	970-208-1130
Fax Number	:	970-208-1132

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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