Individual provider · Type 1 NPI

Leslie Bazan

Mental Health Counselor · San Jose, CA

NPI number 1063947596 Active

Practice location

1885 Lundy Ave Ste 223
San Jose, CA 95131-1888

Call (408) 284-9000 Map

Mailing address

689 S 22nd St
San Jose, CA 95116-3131

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063947596

Leslie Bazan's National Provider Identifier is 1063947596, issued on Apr 21, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Apr 21, 2017.