Active NPIIndividual provider

Ms. Corine Bakazan, LPC

Counselor, Professional in Salem, Oregon

NPI Number1518370956
Practice location
967 Park Ave NE, Salem, OR 97301-2839
Fax
888-375-4308
Last updated
June 27, 2024

Corine Bakazan is a Counselor, Professional based in Salem, OR. Corine Bakazan practices in Salem, OR and has the professional credentials of LPC. The NPI Number for Corine Bakazan is 1518370956 and holds a License No. 5501 (SC). The current practice location address for Corine Bakazan is 967 Park Ave NE, Salem, OR 97301-2839 and can be reached out via phone at 503-583-2117 and via fax at 888-375-4308.

Provider Profile Details

NPI Number
1518370956
Provider Name
Corine Bakazan
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
967 Park Ave NE, Salem, OR 97301-2839
Phone Number
503-583-2117
Fax Number
888-375-4308
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
June 3, 2014
Last Update Date
June 27, 2024
Certification Date
June 27, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
967 Park Ave NE
Salem, OR 97301-2839
City
Salem
State
Oregon
Zip
97301-2839
Phone Number
503-583-2117
Fax Number
888-375-4308
Salem, OR 97301Get directions →

Provider Business Mailing Address Details

Address
967 Park Ave NE
Salem, OR 97301-2839
City
Salem
State
OR
Zip
97301-2839
Phone Number
843-495-6500

License Information

License Number (1)
5501
License State (1)
SC
Taxonomy (1)
Counselor · 101Y00000X
License Number (2)
C6632
License State (2)
OR
Taxonomy (2)
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Corine Bakazan, LPC?

The NPI number of Ms. Corine Bakazan, LPC is 1518370956. It was assigned on June 3, 2014 and is currently active in the NPPES registry.

What is the specialty of Ms. Corine Bakazan, LPC?

Ms. Corine Bakazan, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in SC under license number 5501.

Where does Ms. Corine Bakazan, LPC practice?

The practice location is 967 Park Ave NE, Salem, OR 97301-2839. The office can be reached at 503-583-2117 (phone) or 888-375-4308 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518370956 directly on the NPPES registry website.

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