MR. GUADALUPE V BAZAN JR.


Address: 609 W Logan Ave, Yakima, WA 98902-5553
Phone: 5093671674

MR. GUADALUPE V BAZAN JR. (NPI# 1699391573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699391573
Entity Type Individual
Full Name MR. GUADALUPE V BAZAN JR.
Credential SUDPT
Practice Address 609 W Logan Ave
Yakima
WA 98902-5553
Practice Telephone 5093671674
Mailing Telephone 5093671674
Enumeration Date 2020-06-17
Last Update Date 2020-06-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
60914407 WA Behavioral Health & Social Service Providers

Office Location

Street Address 609 W LOGAN AVE
City YAKIMA
State WA
Zip Code 98902-5553

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952918765 Theresa A Hoisington-yanez Counselor 421 S 43rd St, Yakima, WA 98901-1504 2020-09-25
1063977692 Diana Lane Dewey Counselor 102 N 48th Ave, Yakima, WA 98908-3134 2019-02-07
1053875625 Amanda Rose Rodriguez Counselor 1410 W Prasch Ave, Yakima, WA 98902-5377 2019-01-28
1720558711 William Blair Ellis Jr. Counselor 611 W A St, Yakima, WA 98902-2605 2018-12-03
1427526524 Tammy A. Kinter Counselor 7610 W Nob Hill Blvd Unit 231, Yakima, WA 98908-1942 2018-11-06
1760959290 Conswaylo Ann Fleek Counselor 120 S. 3rd Ave., Yakima, WA 98901 2018-11-02
1366919359 Laura Ann Johnston Counselor 605 Superior Ln, Yakima, WA 98902-1623 2018-10-27
1396212718 Nancy Fraser Counselor 120 S. 3rd Street, Yakima, WA 98901 2018-10-24
1265916837 Jasmine Nathaley Barrera-ledezma Counselor 2000 W Lincoln Ave Apt 19, Yakima, WA 98902-2477 2018-09-19
1548741408 Brandy Bailey Counselor 8110 Ahtanum Rd, Yakima, WA 98903-9401 2018-08-28
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Competitor

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City YAKIMA
Zip Code 98902

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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