Individual provider · Type 1 NPI
Guadalupe V. Bazan Jr., SUDPT
Addiction (Substance Use Disorder) Counselor · Yakima, WA
NPI number
1699391573
Active
Practice location
609 W Logan Ave
Yakima, WA 98902-5553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 60914407 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1699391573
Guadalupe V. Bazan Jr., SUDPT's National Provider Identifier is 1699391573, issued on Jun 17, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Yakima, WA. The record was last updated on Jun 17, 2020.