Individual provider · Type 1 NPI

Shawn Bazemore

Counselor · Waterbury, CT

NPI number 1790049583 Active

Practice location

141 E Main St
Waterbury, CT 06702-2310

Call (203) 575-0641 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1790049583

Shawn Bazemore's National Provider Identifier is 1790049583, issued on Jun 27, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Waterbury, CT. The record was last updated on Jun 27, 2012.