person
Jennifer A Bazan
Mental Health Counselor in Austin, Texas
NPI 1336196641

Jennifer A Bazan is a Mental Health Counselor based in Austin, TX and is specialized in Mental Health. Jennifer A Bazan practices in Austin, TX. The NPI Number for Jennifer A Bazan is 1336196641 and holds a License No. 19844 (Texas).

The current practice location address for Jennifer A Bazan is 8400 N Mopac Expy, Austin, TX and can be reached out via phone at 512-213-2388.

Location: 8400 N Mopac Expy, Austin, TX, 78751-2119
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Provider Profile Details
NPI Number
1336196641
Provider Name
Jennifer A Bazan
Credential
Provider Entity Type
Individual
Gender
Female
Address
8400 N Mopac Expy, Austin, TX, 78751-2119
Phone Number
512-213-2388
Fax Number
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
176552101 05 TX
institution
Provider Business Practice Location Address Details
Address
8400 N Mopac Expy
City
State
Zip
78759-8328
Phone Number
512-213-2388
Fax Number
person
Provider Business Mailing Address Details
Address
8400 N Mopac Expy
City
State
Zip
78759-8328
Phone Number
512-213-2388
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
19844 (Texas)
Definition
Definition to come...
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