Shawn Bazemore is a Counselor based in Waterbury, CT. Shawn Bazemore practices in Waterbury, CT. The NPI Number for Shawn Bazemore is 1790049583 and holds a License No. (Connecticut).
The current practice location address for Shawn Bazemore is 141 E Main St, Waterbury, CT and can be reached out via phone at 203-575-0641.
Location: 141 E Main St, Waterbury, CT, 06702-2310
Provider Profile Details
NPI Number
1790049583
Provider Name
Shawn Bazemore
Credential
Provider Entity Type
Individual
Gender
Male
Address
141 E Main St, Waterbury, CT, 06702-2310
Phone Number
203-575-0641
Fax Number
Provider Enumeration Date
06/27/2012
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
141 E Main St
City
State
Zip
06702-2310
Phone Number
203-575-0641
Fax Number
Provider Business Mailing Address Details
Address
141 E Main St
City
State
Zip
06702-2310
Phone Number
203-575-0641
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
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Definition
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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