person
Mr. Guadalupe V Bazan JR., SUDPT
Addiction (Substance Use Disorder) Counselor in Yakima, Washington
NPI 1699391573

Guadalupe V Bazan JR. is an Addiction (Substance Use Disorder) Counselor based in Yakima, WA and is specialized in Addiction (Substance Use Disorder). Guadalupe V Bazan JR. practices in Yakima, WA and has the professional credentials of SUDPT. The NPI Number for Guadalupe V Bazan JR. is 1699391573 and holds a License No. 60914407 (Washington).

The current practice location address for Guadalupe V Bazan JR. is 609 W Logan Ave, Yakima, WA and can be reached out via phone at 509-367-1674.

Location: 609 W Logan Ave, Yakima, WA, 98902-5553
person
Provider Profile Details
NPI Number
1699391573
Provider Name
Guadalupe V Bazan JR.
Credential
SUDPT
Provider Entity Type
Individual
Gender
Male
Address
609 W Logan Ave, Yakima, WA, 98902-5553
Phone Number
509-367-1674
Fax Number
Provider Enumeration Date
06/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
609 W Logan Ave
City
State
Zip
98902-5553
Phone Number
509-367-1674
Fax Number
person
Provider Business Mailing Address Details
Address
609 W Logan Ave
City
State
Zip
98902-5553
Phone Number
509-367-1674
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
60914407 (Washington)
Definition
Definition to come...
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