Individual provider · Type 1 NPI

Jennifer A. Bazan

Mental Health Counselor · Austin, TX

NPI number 1336196641 Active

Practice location

8400 N Mopac Expy, Suite 302
Austin, TX 78759-8328

Call (512) 213-2388 Map

Mailing address

5104 Martin Ave
Austin, TX 78751-2119

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X19844 (TX)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1336196641

Jennifer A. Bazan's National Provider Identifier is 1336196641, issued on May 30, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Dec 1, 2011.