Individual provider · Type 1 NPI

Basile Bazina, M.ED.

Mental Health Counselor · Brockton, MA

NPI number 1093062754 Active

Practice location

142 Crescent St, Second Floor
Brockton, MA 02302-3104

Call (508) 941-0005 Map

Mailing address

PO Box 2072
Brockton, MA 02305-2072

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093062754

Basile Bazina, M.ED.'s National Provider Identifier is 1093062754, issued on Aug 12, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brockton, MA. The record was last updated on Aug 12, 2012.