Individual provider · Type 1 NPI

Virginia M. Bazis, M.ED

Mental Health Counselor · Philadelphia, PA

NPI number 1861643306 Active

Practice location

833 Chestnut St, Suite 210
Philadelphia, PA 19107-4414

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPC003060 (PA)

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About NPI 1861643306

Virginia M. Bazis, M.ED's National Provider Identifier is 1861643306, issued on Oct 2, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 2, 2008.