Individual provider · Type 1 NPI

Nicole Rae Bazaco, LPC-A

Professional Counselor · Colleyville, TX

NPI number 1316764590 Active

Practice location

7165 Colleyville Blvd Ste 103
Colleyville, TX 76034-8011

Call (817) 697-4777 Map

Mailing address

4709 Cherry Bark Trl
Arlington, TX 76005-1323

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X89734 (TX)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1316764590

Nicole Rae Bazaco, LPC-A's National Provider Identifier is 1316764590, issued on Sep 20, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Colleyville, TX. The record was last updated on Sep 20, 2024.